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Fax Order Form To place an order via fax simply print this form, fill in the information below and fax the completed form to 646-607-1907 (from

USA) or +353-1-481-1716 (from Rest of World). If you have any questions please visit http://www.researchandmarkets.com/contact/

Order Information Please verify that the product information is correct and select the format(s) you require.

Product Name: Web Address: Office Code:

Pfizer: Company Profile http://www.researchandmarkets.com/reports/516370/ SCE7PU8N

Product Formats Please select the product formats and quantity you require:

Hard Copy:

USD 400 + USD 59 Shipping/Handling

Electronic (PDF) - Enterprisewide:

USD 1100

Quantity

  • *

    Shipping/Handling is only charged once per order.

Contact Information Please enter all the information below in BLOCK CAPITALS

Title:

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Mrs

Dr

Miss

Ms

Prof

First Name:

Last Name:

Email Address: *

Job Title:

Organisation:

Address:

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Country:

Phone Number:

Fax Number:

  • *

    Please refrain from using free email accounts when ordering (e.g. Yahoo, Hotmail, AOL)

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