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Industrial Info Resources, Inc.
Forecasts & Trends : 2004 Power Industry Forecast
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FAX TO: 713-266-9306
A Customer Service Representative will contact you within 24 hours.
Full Name:
____________________________________________________________
Company Name:
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Address 1:
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Address 2:
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City:
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State:
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Zip Code:
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Phone:
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Fax:
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E-Mail:
____________________________________________________________
Membership:
Are you currently a subscribed member to our website? YES / NO
If NO, please provide a Username and Password below.
Username: __________________________________________________
Password: __________________________________________________
Order
Product Description
Price
_____
Single User Agreement - 1 Seat License
$395.00
_____
Single User Agreement - CD Rom Version
$495.00
Payment Method:
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Submit by Mail:
Industrial Info Resources, Inc.
C/O: Member Services
2277 Plaza Drive Ste. 300 - Sugar Land, TX 77479
Credit Card Number:
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Exp. Date (MMYY):
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Name on Card:
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Total:
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Signature:
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