Order Form Herbarium Linnaeanum - The Linnaean Collection of the Herbarium of Moscow State University - CD-ROM To obtain a copy of the CD-ROM, print and complete this form, then send or fax it to this address: Anna Hutson, Department of Botany, The Natural History Museum, Cromwell Road, London, SW7 5BD, UNITED KINGDOM. Fax: (+44) 20 7942 5529 Tel: (+44) 20 7942 5466 Please allow 28 days for delivery. All enquiries regarding orders should be directed to Anna Hutson at A.Hutson@nhm.ac.uk Herbarium Linnaeanum CD-ROM costs £49.99 incl. p&p and VAT @ 17.5% For non-EU residents, the cost is £42.54 incl. p&p Title (Dr/Prof/Mr/Mrs etc): Name (first name, initials, surname): Postal address: Email address: Number of copies of the Herbarium Linnaeanum CD-ROM you wish to purchase: Total (£): Method of payment: [ ] Cheque/bank draft enclosed (made payable to The Natural History Museum) [ ] Please charge my VISA/MASTERCARD Name on card:______________________________________________________ Card Address (if different from postal address):_____________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ Card Number: ______________________________________________________ Expiry Date: ____________________ Signature: ________________________________________________________ The Natural History Museum. VAT Registration Number GB 645 4245 38