Coxmoor's Order Form

Order Form

Please send me the following title(s)

A Brief Introduction to the Rheology of Polymeric Fluids
£39 or US$ 75 or Euros 66
(please add £4 / US$8 / Euros 8 post & packing)

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(All titles are sent via First Class mail or Airmail if outside the UK)

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(Titles will only be sent upon payment)

Cheques should be made payable to: Coxmoor Publishing Company and sent to:

The Coxmoor Publishing Company
High Street
Longborough
GL56 0QE
England

Tel and Fax: +44-(0)1451-830261

E-mail: mail@coxmoor.com

Our own bank details are available on request. Please check this box if you require them to transfer funds:

CONTACT & DELIVERY DETAILS: (All titles are sent via First Class mail or Airmail if outside the UK)
NAME:
ORGANISATION:
ADDRESS:
TOWN/CITY:
COUNTY/STATE:
POST/ZIP CODE:
COUNTRY:
TELEPHONE:
FAX:
E-MAIL:

Please send an invoice. My company order number is:
(Titles will only be sent upon payment)