Mail-order: Inventory

Mail-order form Send by Fax +49 2204 - 22203	From : __________________________________________ __________________________________________ __________________________________________ __________________________________________
or by mail to:		Eichenhainallee 18 51427 Bergisch Gladbach Germany

Please send me/us:
No. of copies: ______ Inventory of National Election Studies in Europe 1945-1995: Belgium, Denmark, France, Germany, Great Britain, Hungary, The Netherlands, Norway and Sweden. by Ekkehard Mochmann, Ingvill C. Oedegaard, Reiner Mauer 1998 / 422 pages / hardcover / 29 x 21 cm / DM 128.00 ISBN 3-931219-04-6 / Bergisch Gladbach: Edwin Ferger Verlag Please add DM 10.00 (int'l postage) for all orders from outside Germany.

	Payment options:
[ ]	I have transferred DM__________ to your Giro Account No. 529750005 at Koelner Bank von 1867, Koeln, Germany, (BLZ 37160087)
[ ]	I enclose a cheque for DM __________ made payable to Edwin Ferger Verlag. Eurocheques in DM accepted.
[ ]	Please charge to my EUROCARD / MasterCard:
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	Card expiry date: ____________
	Card holder's name ________________________________________
	Signature: ________________________________________________