Order Form

 Please Print this form and mail to

Galliford Consulting & Marketing

3844 West Channel Islands Boulevard, #217

Oxnard, CA 93035, USA
 

Please check the box for the items you wish to order in the language you require.

2006 Photoconductor Market Forecast:

In Japanese 

English 

Price: $5,200.00

2005 Toner Market Forecast:

In Japanese 

English 

Price: $5,200.00

Chemically Produced Toner – A Study of Markets and Technologies (Edition 4)

A Study Compiled by Galliford Consulting & Marketing

In English only  

Price:    $975.00

Add 7.25% for sales tax if you are ordering from an address in California. For the USA and Canada add $10.00 for regular mail shipment and $25.00 for shipment by Federal Express. For other addresses add $15.00 for airmail shipment and $35.00 for Federal Express shipment.

Payment Alternatives:

1) Visa, Mastercard, American Express and Discover Cards

2) US Dollar Check issued on a US Bank

3) Wire Transfer of Payment to Galliford Consulting & Marketing, Account # 0829 310 309, Bank Routing # 122000247, Wells Fargo Bank, Telephone Road, Ventura, CA 93003, USA

4) US $ Money Order

5) International Money Order in US $

Order Information                            Official Order Number             

Name                                                       Title                   

Tel. Number                                                   

E-Mail Address                                                                                    

Invoice or Credit Card Billing Address

Company                                                                      

Department/Division                                                       

Street                                                                     

City                                                        State/County/Province                  

Zip Code/ Postal Code                                            Country                           

Tel: No.                                 Fax No.                e-mail                                                 

Authorized Signature                                                                Shipment   Mail  FedEx

Price $            + Ship/Pack $10 / 15 / 25 / 35 (+ Tax (Ca Only) 7.25%) = Total Order Value  $              

Credit Card Details

Name on Card                                                                                             

Credit Card Type    Visa  MasterCard  American Express  Discover

Credit Card Number                                                           Expiration Date                          

Ship to Address (if different from above)

Name                                                       Title                      

Company                                                            Dept/Division                    

Street                                                                     

City                                                        State/County/Province                  

Zip Code/ Postal Code                                            Country                           

Tel: No.                                 Fax No.