• by (toll-free) phone: in the U.S., call 1-800-535-9544 (Ashgate); 
• by regular mail: print Order Form (see below) and send it by regular mail to one of the publisher's addresses; this enables payment by check or credit card, and the order can be signed
• by fax: print Order Form and fax it to the publisher's offices at Brookfield, VT (Fax: 802-276-3837) or Rotterdam (Fax: +31-10-4135947)
• by e-mail: "copy" and "paste" the Order Form (below) into an e-mail message to the publisher's Brookfield, VT office: info@ashgate.com

ORDER FORM

E. VanMarcke: Quantum Origins of Cosmic Structure, Balkema Publishers, 1997.
Available in Hardcover, ISBN 90-5410-674-3; Paperback printing sold out.

Number of copies wanted:

____ Hardcover, at $70.00 per copy

Price in British Pounds: £38; individuals living within the E.C. need to add 6% VAT

Payment by personal check drawn on a bank in the U.S. or the U.K.
or by credit card (Circle one): Master Card / VISA / American Express / Diners / Eurocard / JCB

Card number: _ _ _ _ - _ _ _ _ - _ _ _ _ - _ _ _ _

Expiration Date: _________ Signature: ___________________________

Name: _________________________________________________

Address: _______________________________________________

City & Country: _________________________________________

E-mail Address (Optional): _________________________________

Publisher's addresses:

• A.A. Balkema Publishers, P.O. Box 1675, NL-3000 BR Rotterdam, Netherlands, or
• For USA & Canada: A.A. Balkema, Old Post Rd., Brookfield, VT 05036-9704