BROOKHAVEN PROTEIN DATA BANK
			         CD-ROM ORDER FORM

Name of User ____________________________________    Date   ____________
Organization ____________________________________    Phone  ____________
Address	     ____________________________________    Fax    ____________
 	     ____________________________________    E-mail ____________

- Price is valid through September 30, 1997
- Price is per CD-ROM set released --- releases occur four times per year
- Facsimile and phone orders are not acceptable

The Protein Data Bank MUST receive all three of the following items 
before shipment can be completed (please send all required items together 
via postal mail -- facsimile and phone orders are NOT acceptable):

	1. Completed order form;
	2. Mailing label indicating exact shipping address; and
	3. Payment (using one of the two options below):

		- Check payable to Brookhaven National Laboratory in U.S. 
		  dollars and drawn on a U.S. bank. Foreign checks cannot 
                  be accepted and will be returned.

		- Original purchase order payable to Brookhaven National 
		  Laboratory. After your order is processed, you will be 
		  invoiced by Brookhaven National Laboratory. Please 
                  indicate exact address to which invoice should be sent:
			______________________________________
			______________________________________
			______________________________________
			______________________________________

		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	: Morgan Guaranty Trust Co. of New York
		Account name	: Brookhaven National Laboratory
		Account number	: 076-51-912

	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.......$357.25
		(tax and shipping charges not applicable)
	...............................................................

For Order Information:
Telephone...516-344-5752; Fax...516-344-1376; E-mail...orders@pdb.pdb.bnl.gov