ORDER FORM

Contents: Conference materials, technical brochure, photo gallery of official launching, conference, exhibition & geological field trip,
directory of conference delegates and exhibitors.

Name :
Company/Organisation :
Address :

Postal Code :
Country :

Tel :

Fax :

E-mail :

Quantity	Unit Price		Total
	BND$49.00 (US$30.00) (excluding shipping charges)**
Send order and payment to :		Payment can be made
CDROM Order Petroleum Unit Jalan Menteri Besar Bandar Seri Begawan BB3910 BRUNEI DARUSSALAM or fax : 673-2-383004		in person by cash at the Petroleum Unit 3^rd Floor, Room 201 or by bank draft payable to : *Government of Brunei Darussalam – Petroleum Unit*

Shipping Rates ( excluding duty & tax at country of destination ) in US$ (provided by TNT)

Singapore Malaysia	ASEAN, South Korea, Taiwan, HongKong	Asia, Australia	North America	Europe	Americas, Mid-East, South Africa
22	30	38	48	55	62

**For overseas order:

"Freight Collect" or Receiver-Pay arrangement will be made through TNT Express-Worldwide. Payment is to be made directly to TNT by consignee upon delivery of goods.

If you agree to this arrangement, please sign in the box.

Please send me the order through freight collect arrangement.

Signature/Date

For Official Use :

Date:

Payment Receipt :