BROOKHAVEN PROTEIN DATA BANK CD-ROM ORDER FORM Name of User ____________________________________ Date ____________ Organization ____________________________________ Phone ____________ Address ____________________________________ Fax ____________ ____________________________________ E-mail ____________ - Price is valid through September 30, 1997 - Price is per CD-ROM set released --- releases occur four times per year - Facsimile and phone orders are not acceptable The Protein Data Bank MUST receive all three of the following items before shipment can be completed (please send all required items together via postal mail -- facsimile and phone orders are NOT acceptable): 1. Completed order form; 2. Mailing label indicating exact shipping address; and 3. Payment (using one of the two options below): - Check payable to Brookhaven National Laboratory in U.S. dollars and drawn on a U.S. bank. Foreign checks cannot be accepted and will be returned. - Original purchase order payable to Brookhaven National Laboratory. After your order is processed, you will be invoiced by Brookhaven National Laboratory. Please indicate exact address to which invoice should be sent: ______________________________________ ______________________________________ ______________________________________ ______________________________________ A wire transfer is acceptable only AFTER we have received an original purchase order from your organization and you have been invoiced by Brookhaven. After receiving Brookhaven's invoice, your bank may send a wire transfer to: Bank name : Morgan Guaranty Trust Co. of New York Account name : Brookhaven National Laboratory Account number : 076-51-912 Please send all three required items together via postal mail to: Protein Data Bank Orders Biology Department, Building 463 Brookhaven National Laboratory P.O. Box 5000 Upton, NY 11973-5000 ............................................................... Protein Data Bank CD-ROM -- ISO 9660 Format.......$357.25 (tax and shipping charges not applicable) ............................................................... For Order Information: Telephone...516-344-5752; Fax...516-344-1376; E-mail...orders@pdb.pdb.bnl.gov