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(Report Order Form in Adobe PDF Format)

DO NOT ENTER CREDIT CARD INFORMATION HERE

If your browser does not handle forms, you may e-mail your order form to: info@fleckresearch.com or order by phone (949-276-6400) or print the form and fax to (949-276-6405).


Report # Description/Title Price (US$)
  Total


Shipping Information
Name
Title
Company
Address 1
Address 2
City
State/Prov Zip  
Telephone
Fax
e-mail

Billing Information
Name
Title
Company
Address 1
Address 2
City
State/Prov Zip  
Telephone
Fax
e-mail

Special Handling:

You may call and place your order by phone. You may also mail or fax order form to Fleck Research.

Shipping: All report are sent by e-mail in Adobe PDF file format. If you require hard copy, please indicate so in the "Special Handling" section of the order form. Note that there will be an extra charge for shipping.

Payment Method and Terms: You will be invoiced upon shipment of the report. The invoice will be addressed to the purchaser and included in the package unless a different billing address is given. Terms are Payment Due Upon Receipt of Invoice unless other arrangements have been made. You also may make payment with American Express, Visa, or Master Card.

Orders From Countries Outside the USA: For enclosed payment from countries outside the USA, please use payment method of either check drawn on a U.S. Bank, International Money Order, or Wire Transfer.

Check or International Money Order Wire Transfer
Fleck Research
1001 Avenida Pico #C-514
San Clemente, /CA 92673
Tel: (949) 276-6400
Fax: (949) 276-6405
Please call for information