ORDER FORM: MAMÍFEROS DEL ECUADOR

Please supply ______ copy(ies) of "Mamíferos del Ecuador" 
at the following price:

US$ 30,00 per copy	 				US$ ______
US$  4,00 for shipping and handling in North Central 
and South America; elsewhere, add US$ 8.00	 	US$ ______
	
						  Total US$ ______

|_| I enclose a check for ________________ US$ Dollars; 
    payable to "SIMBIOE"
	
|_| Debit from my MasterCard account number:

				|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|
	
	Expiration date 	____/____

		* Please enclose card-holder name	

Address   _______________________________________________________

	  _______________________________________________________

Country  __________________ Zip/postal code______________________


                Signature _______________________________________
				
==============================================================

Send order forms and requests for information to:

SIMBIOE (Sociedad para la Investigación y Monitoreo de la 
Biodiversidad Ecuatoriana)
Av. Amazonas 2915. Ed. Inglaterra, piso 2
P.O. Box  17-11-6025
Phone  (593-2)-431097 / 431098
Fax  (593-2)-442771
E-mail  mamiferosdelecuador@yahoo.com
Página Web:  http://mamiferos.cjb.net/