Name of User __________________________________ Date ________________ Organization __________________________________ Phone ________________ Address __________________________________ Fax ________________ __________________________________ E-mail ________________
___________________________________________________________ ___________________________________________________________ ___________________________________________________________ ___________________________________________________________A wire transfer is acceptable only AFTER we have received an original purchase order from your organization and you have been invoiced by Brookhaven. After receiving Brookhaven's invoice, your bank may send a wire transfer to:
Bank name : Chase Manhattan Bank Bank address : 270 Park Ave. New York, NY 10017 USA Account name : Brookhaven Science Associates, LLC Brookhaven National Laboratory Account number : 615-775942
Please send all three required items together via postal mail to:
Protein Data Bank Orders Biology Department, Building 463 Brookhaven National Laboratory P.O Box 5000 Upton, NY 11973-5000
Protein Data Bank CD-ROM - ISO 9660 Format....................$ 373.17 Total for four (4) releases (Standing Order)..................$ 1,492.68
For Order Information: