INTERNATIONAL
VETERINARY PATHOLOGY SLIDE BANK
|
| DEPARTMENT OF PATHOLOGY |
| COLLEGE OF VETERINARY MEDICINE THE UNIVERSITY OF GEORGIA ATHENS, GEORGIA 30602-7388 |
| FAX (706) 542-5828 |
| WEBSITE SLIDE DUPLICATE ORDER FORM |
| DATE: | ||
| SHIP TO: | BILL TO: | Purchase Order # |
| TELEPHONE # ( ) |
Slides 14605 through
18254 and 29063 through 30438 are not available for duplication.
Type or print all slide numbers in sequence by
column. Orders not readable will be returned. [] 2x2's or [] Digital images
on CD
Cost per slide -- $1.50 (cost subject to change); Minimum Order $10.00
Additional duplicate slides of the original when ordered at the same time --
$1.05 each.
Prices include shipping to the continental USA addresses. Shipping expense to foreign addresses is additional. Orders will be shipped within 14 days after receipt of order. Check may accompany order or institutional purchase order is accepted. Please make payable to: College of Veterinary Medicine The University of Georgia.
CERTIFICATION OF USE: I certify that the slides requested on this order form are for educational, nonprofit use in face to face instruction, or for use in the preparation of audio-visual materials which will be used on my campus only. I understand that duplication is authorized for use on my campus only. I further certify that these materials will not be used in any publication without the written consent of the original producer and the International Veterinary Pathology Slide Bank.
SIGNED DATE
Date Received: Order Number: Date Shipped: