International Glass Database INTERGLAD Ver. 8
Purchase Order Form
RED items are indispensable
Title (Dr./Ms./Mr.)
Name
Organization
Department
Address/Zip/Country
TEL
FAX
E-mail
Retype address to verify.
Category General University/College
Item to purchase Annual ContractCD Full Function Edition
Payment
 I need the bill of INTERGLAD.
Billing address (If different from the above address)
I will pay the fees until . by the bank transfer: 
The Bank of Mitsubishi-Tokyo-UFJ (SWIFT code:BOTKJPJT), 
head office, 
2-7-1, Marunouchi, Chiyoda-ku, Tokyo 105-8388 JAPAN.
Account Name: New Glass Forum
Account Number: 7649668