GLP Regulations Order Form

Name: __________________________________ Date: _______

Company: __________________________________

Address: _____________________________

City: ______________ State: __________ Zip: _____

Phone: __________ Fax: __________ E-Mail: _______________________

Number of booklets (8 x 5) ordered (EPA) ____ X $6.00= _____

Number of booklets (8 x 5) ordered (FDA): ___ x $6.00= _____

TOTAL: __________

Please enclose a check payable to Debi Garvin and mail to 4730 London Drive, Mt. Hood, Oregon 97041. Your booklets will be shipped within 1 week of receipt of this order. If more than 5 copies are ordered, they will be shipped priority mail.

For more information, contact Debi Garvin at debi@pacrimqa.com or call (541) 352-7120.