============================================================================= ORDER FORM Author: G. W. Roberts and A. K. Lu Title: Analog Signal Generation for Built-In-Self-Test of Mixed-Signal Integrated Circuits Integrated Circuits ( X ) Hardbound / ISBN: 0-7923-9564-6 ( ) Payment enclosed to the amount of ___________________________ ( ) Please send invoice ( ) Please charge my credit card account: Card no.: |_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_| Expiry date: ______________ () Access () American Express () Mastercard () Diners Club () Eurocard () Visa Name of Card holder: ___________________________________________________ Delivery address: Title : ___________________________ Initials: _______________M/F______ First name : ______________________ Surname: ______________________________ Organization: ______________________________________________________________ Department : ______________________________________________________________ Address : ______________________________________________________________ Postal Code : ___________________ City: ____________________________________ Country : _____________________________Telephone: ______________________ Email : ______________________________________________________________ Date : _____________________ Signature: _____________________________ Our European VAT registration number is: |_|_|_|_|_|_|_|_|_|_|_|_|_|_| To be sent to: For customers in Mexico, USA, Canada Rest of the world: and Latin America: Kluwer Academic Publishers Kluwer Academic Publishers Group Order Department Order Department P.O. Box 358 P.O. Box 322 Accord Station 3300 AH Dordrecht Hingham, MA 02018-0358 The Netherlands U.S.A. Tel : 617 871 6600 Tel : +31 78 6392392 Fax : 617 871 6528 Fax : +31 78 6546474 Email : kluwer@wkap.com Email : services@wkap.nl For Looseleaf Publications on Law: Libresso Distribution Centre P.O. Box 23 7400 GA Deventer The Netherlands Tel : +31 5706 33155 Fax : +31 5706 33834 Payment will be accepted in any convertible currency. Please check the rate of exchange with your bank. Prices are subject to change without notice. All prices are exclusive of Value Added Tax (VAT). Customers in the Netherlands please add 6% VAT. Customers from other countries in the European Community: * please fill in the VAT number of your institute/company in the appropriate space on the orderform: or * please add 6% VAT to the total order amount (customers from the U.K. are not charged VAT).
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