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HTUF Proceeding Order Form

October 14-15, 2004
Kalamazoo, Michigan


The WestStart's 4th Annual Hybrid Truck Users Forum was a great success! If you did not make this event you can still enjoy the informative presentations by our featured speakers by ordering your copy of the proceedings CD for just $75.00 plus $6.00 for shipping & handling US, please add $10.00 for orders outside of US.

Please complete the following form and return. If you do not want to make purchases online,
please contact us at 626/744-5600. Thank you!

Required fields are marked with a*

*First Name:
*Last Name:

*Title:
*Company/Organization:
*Street Address:
*City:
*State:
*Zip Code:
 -
*Phone Number:
 - -
Fax Number:
 - -
*E-mail:

Charge my Credit Card $75.00 for CD plus $6.00 S&H for a total of $81.00. I am shipping with in the US.
Charge my Credit Card $75.00 for CD plus $10.00 S&H for a total of $85.00. I am shipping outside the US.

Method of Payment
Check
Credit Card

Payment Information
How would you like to pay? Choose one of the following:

Visa.
MasterCard.
American Express.
Check (to be mailed).

Please make checks payable to WestStart–CALSTART and mail with your application to:
Weststart- CALSTART, Att: H-TUF 2181 E. Foothill Blvd., Pasadena, CA 91107, or fill out the credit card information below.

*Name on Credit card:

*Credit card number:

*Expiration Date: (MMYY)

* Billing Address

For more information on WestStart – CALSTART’s other Services/Programs,
please contact (626) 744-5600; Fax: (626) 744-5610 ; email calstart@calstart.org.
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