Name: Company: Title or occupation: Address: City/Prov: State: Zip/Postal: Country:
Email: Voice #: FAX #:
Item: x = order
If payment is made by check, please make it out to Political & Economic Risk Consultancy, Ltd. and mail your payment to G.P.O. Box 1342; Hong Kong If payment is made by credit card (we accept American Express, MasterCard and Visa), please include the following information:
Credit card type: Credit card number: Name to which credit card is made out to: Expiry date:
Signature: ___________________________________
Thank you for your order!