Print and fax to: Asiatica Association - Sales Department
                  via V. Bellini 4, 20122 Milano, Italy
                  Fax: +39 2 76011736 - Email: [email protected]
                                                        Date:   /  /199
----------------------- Name and Shipping Address -----------------------
First Name:  ________________________ Middle Name: ______________________
Last Name:   ______________________________ Title: ______________________
Institution: ____________________________________________________________
Address:     ____________________________________________________________
             ____________________________________________________________
City:        ______________________________ State: ______ Zip: __________
Country:     ______________________________ Email: ______________________
Telephone:   ______________________________   Fax: ______________________
-----------------------        Order Details      -----------------------
(Select)      (Description)            (Quantity) (Unit Price)   (Total)
  [ ]   JSAWS 1995-1997 printed book     ______   US$  27.00   US$ ______
  [ ]   JSAWS subscription (book+WWW)    ______   US$  60.00   US$ ______
  [ ]   Extraordinary Membership
        (both Journals WWW + JSAWS book) ______   US$ 100.00   US$ ______
        Shipping (1st book)                       US$   7.00   US$   7.00
        Shipping (additional books)      ______   US$   5.00   US$ ______
                                                   Total       US$ ______
-----------------------       Payment Details     -----------------------
                    credit card orders will be debted
              in Italian Lira at the current exchange rate
              (approx. 0.000557994 USD/ITL 1794.38 ITL/USD)
Date of Birth dd/mm/yy (required for c/c orders)  _______/_______/_______
  [ ]  Visa No. __________________________________________ Exp. __/______
           Name _________________________________________________________
  [ ]  Mastercard No. ____________________________________ Exp. __/______
           Name _________________________________________________________
  [ ]  International Money Order (please enclose copy of payment slip)
              Customer Name: Asiatica Association
              Bank Name: Banco Ambrosiano Veneto
              Branch: 099 - Milano alla Scala
              Address: Piazza Paolo Ferrari 10, Milano, MI 20100 Italy
              Account#: 1666/92
              SWIFT#: BAVEITMM099
                                            _____________________________
                                                      (Sign here)