Staff		Publications Order I would like (quantity) Streaming Media Report, NEW! printed copies price euro 250 per copy European Interactive Television Report printed copies price euro 360 per copy Internet Research Directory printed copies euro 59 per copy Beyond the Banner European case studies on multi-platform marketing campaigns printed copies euro 175 per copy Broadband Landscape Europe Market Assessment and Forecast to 2003 produced in association with Screen Digest printed copies euro 1300 per copy European Broadband Content Directory printed copies euro 100 per copy European Content Syndication Report "The Changing Face of Europe's Digital Content Syndication Market" printed copies euro 450 per copy European Online Sports Report "Harnessing the Potential of a Visible Community" printed copies euro 250 per copy Western European Digital Content Distribution (DCD) report co-authored with Aberdeen Group printed copies of the DCD full report euro 1995 per copy VAT of 6% will be added for orders from the Netherlands and all EU countries. Orders from non-EU countries are treated as export orders and are not liable for VAT. If you are ordering from an EU country other than the Netherlands, please can you supply your full VAT/TVA/MWSt number below to be exempted from this tax. Select one of the following payments: I want to pay online using Bibit for the total amount due. After submitting this form you will be redirected to the secure server where the actual payment transaction will be made Please invoice my company for the total amount due Please telephone me to take my credit card details Please complete all the fields below First name Last name Company name Address City Postal code Country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegowina Botswana Bouvet Islands Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (keeling) Islands Colombia Comoros Congo, the Democratic Republic of the Congo Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Euskadi Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadaloupe Guam Guatamala Guinea-Bissau Guinea Guyana Haiti Heard and mc donald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kirikiribati Korea, Democratic people's Republic of Korea, Republic of Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Antilles Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Islands Northern Mariana Islands Norway Oman Pakistan Palau Palestinian territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Somalia South Africa South Georgia and the South Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Virgin Islands (British) Virgin Islands (U.S.) Wallis And Futuna Islands Western Sahara Yemen Yugoslavia Zambia Zimbabwe Email Telephone VAT/TVA/MWSt Purchase order number You can also print this form and fax it to: +31 20 6231 522 (not applicable for payments by bibit)
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