EIHA conference, CD-ROM order

CD-Cover

I'd like to order the CD-ROM "Second International Conference of the European Industrial Hemp Association (EIHA) 2004".
I'm already in the possession of the EIHA-CD-ROM 2003 or participated the conference in 2004.
Price: 50,- EUR (including german VAT, packaging and shipping)

After you completed the registration form, you'll receive an invoice by email automatically.
Please note: Fields you don't fill out are not displayed on your invoice!
Especially your email address is absolutely necessary to receive your invoice.

Fields marked with * are required.

Firma/Institut
Company/Institute:
Branche
Branch
Nachname, Vorname *
Last name, first name
Straße *
Address *
PLZ und Ort *
Zip, City *
Land *
Country *
  Bei Unternehmen mit Sitz in einem Land außerhalb
Deutschlands, bitte Umsatzsteuer ID-Nr. angeben.
Please enter Value added tax identification number
if your company is based outside of Germany.
Umsatzsteuer-IdNr.
VAT Reg.No.
E-Mailadresse *
Your email address *
Tel.
Phone		  Fax