fib - federation internationale du beton

	Postal Address	Street Address (map)	Phone / Fax	Contact
	Case Postale 88 CH-1015 Lausanne	Office GC A2 424 at the Swiss Federal Institute of Technology Lausanne (EPFL)	phone +41 21 693 2747 fax +41 21 693 6245

Please make your orders only by filling out this form and printing it (if you are unable to print it, download the PDF version). For security reasons, please send the order form to the fib secretariat by fax or post only (postal address and fax number given above).

Note: The + sign in the fax and phone numbers stands for the International Direct Dialing prefix in your country, for example 011 in the U.S. and Canada, 00 in European countries.

Prices quoted are in Swiss Francs for non-members, handling and delivery by surface mail included. For discounts on quantities of five or more, please contact .

Please send the following by surface mail (included) airmail (add 20%)

N° / Title CHF:

N° / Title CHF:

N° / Title CHF:

N° / Title CHF:

For airmail add 20% (of the full total bulletin price) CHF:

Total: CHF:

For orders totaling less than 50 CHF, a handling charge of 20 CHF will be added.

Payment by: MasterCard Visa card

No: Exp. date:

Cardholder's name (as printed on card):

The Bulletins and the invoice should be mailed to:

Title

First Name

Family Name

Name of firm (if applicable)

Street, P.O. Box

(additional address info)

Post Code

City

Country

Phone

Fax

E-mail

I am/my company is a subscribing associate supporting sponsoring member of fib and as such entitled to receive a 50% discount on the above-mentioned total price, surface mail included (optional airmail delivery charge not included). My/our membership number is

I am an ordinary member of fib and as such entitled to receive a 50% discount on one bulletin, once per year. My membership number is

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