Order Form - International Monetary Fund

C2006

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ORDERED BY: IMF CUSTOMER ACCOUNT #___________________

International Monetary Fund

Name _________________________________________________________________________

Publication Services—Catalog Orders

700 19th Street, N.W., Room CN-235

Organization____________________________________________________________________

Washington, D.C., 20431 U.S.A.

Mailing Address _________________________________________________________________

To order by phone:

City/State/Province ______________________________________________________________

Telephone: (202) 623-7430

Telefax: (202) 623-7201

Country/Postal Code_____________________________________________________________

Email:

Internet:

Email __________________________________________________________________________

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SHIP TO:

(If different from name and address shown to the left)

2

TELEPHONE NUMBERS:

May we please have both telephone and telefax numbers so that we may reach you with

Name ____________________________________________________________

any questions about your order.

Organization ______________________________________________________

Telephone (_____) ________________________ Telefax (_____) ________________________

Mailing Address____________________________________________________

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METHOD OF PAYMENT:

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US$ Check

American Express (15 digits)

MasterCard (16 digits)

VISA (13 or 16 digits)

City/State/Province_________________________________________________

__ __ __ __ – __ __ __ __ – __ __ __ __ – __ __ __ __

Card Number

Country/Postal Code _______________________________________________

__ __ / __ __

Expiry Date

(mo.) (yr.)

Telephone (_____) _________________ Telefax (_____) _________________

_________________________________________________________________

X

Signature (We cannot accept credit card orders without a signature.)

Email ____________________________________________________________

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RUSH DELIVERY INSTRUCTIONS

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(if required)

Airmail/First Class Mail delivery. Additional postal charges will be added to your credit card according to

quantities ordered and the destination country. For orders paid by US$ checks, please fax inquiries for additional postal charges. Unless rush delivery instructions are indicated,

all orders are delivered by surface mail, free of charge. Surface mail requires 2 to 4 weeks within the continental United States and 6 to 16 weeks elsewhere.

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YOUR ORDER Please send the following publications (please print clearly or type)

Qty.

Stock#

Title

Language

Price

US$

US$

US$

US$

US$

US$

US$

US$

US$

US$

US$

US$

US$

US$

US$

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(Please attach additional sheet, if necessary.)

7

US$

Total Order

THANK YOU FOR YOUR ORDER!