> Manufacturers Index ORDER FORM

You can use this form two different ways:

• Complete it on screen, then click the Submit button to forward it to us electronically;

• Print it out and mail it to: SYNERJY, PO Box 1854 / Cathedral Station, New York, NY 10025.

Please note that all orders from individuals must be prepaid (submit complete credit card information or mail with a check).


Manufacturers Index

Order Information:

Indexes:
Solar @ $20/ea
Biomass @ $15/ea
Wind & Small Hydropower @ $20/ea

All Three Indexes @ $45

Format
Print version   
CD-ROM   
Diskette
Mailing labels

(Outside US & Canada please add $6 per order for air mail postage.)

Customized lists are available for $15/hundred in both electronic and print formats. Please contact SYNERJY for details (info@synerjy.com).


Payment Information:

Please bill me for $ + $3 handling charge.
      (billing option is for Institutions only)

Visa
MasterCard

Credit card #
Expiration date:

(If ordering by mail)
Signature:____________________________________

Enclosed is $ __________ (US$ only please; make check or money order payable to SYNERJY).


Shipping Information:

First Name
Last Name
Title
Organization
Address
City State
Zip Code Country
Telephone
e-mail address


                                      

 

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