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ORDER FORM - ATCvet PUBLICATIONS<br />

Payment details<br />

We require advance payment before we can fulfil your order. Please use one of the following<br />

three alternative modes of payment:<br />

Credit card<br />

American Express<br />

VISA<br />

Master Card<br />

CVC2 value: ___________(security code)<br />

CVC2 value: ___________(security code)<br />

CVC2 value: ___________(security code)<br />

Card number: Expiry date:<br />

Signature: ___________________________________________________________<br />

Signature for card holder required for all charges.<br />

Card holders name:____________________________________________________<br />

CAPITAL LETTERS<br />

Bank transfer<br />

The money will be transferred to bank account no 7694 0506820, IBAN code NO71 7694 0506<br />

820, DnB NOR ASA, 0021 Oslo, Norway. Swift code DNBANOKK, VAT no: NO<br />

983744516. (Please remember to mark the transfer with our complete address and your<br />

complete name and address).<br />

Cancellation of orders AFTER the shipment is sent from our office, will not be refunded.<br />

To be returned to:<br />

WHO Collaborating Centre for Drug Statistics Methodology<br />

P.O.Box 4404 Nydalen<br />

N-043 Oslo<br />

Norway<br />

Tel: +47 21078160<br />

Fax: +47 21078146<br />

E-mail: Whocc@fhi.no Page 2

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