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Order Form

Yes, please send me _________ copies of Oil Fields of the Gulf Region: An Illustrated Atlas at $850.00 each. The price includes priority mail delivery to U.S. destinations. Please contact us for other shipping arrangements.

Name:_____________________________________________

Company:__________________________________________

Street Address:_____________________________________

City:_______________________________________________

State or Province:___________________________________

Country:____________________________________________

Zip or Postal Code:___________________________________

____ Check Enclosed
____ Invoice Me

Authorizing Signature:____________________________
(Required)
Date: _________________

Please print this form and FAX or mail to:

Greg Croft Inc.
16087 Selborne Drive
San Leandro, CA 94578
USA

FAX: (510) 276-1849
TEL.: (510) 276-7961



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