purchase by electronic data transmission form
	ATC Ediciones S.L. Paseo del Prado, 24. 28014 Madrid. Spain Phone: +(34) 914 200 066    Fax: +(34) 914297 706 tectonica@tectonica.es suscripcion@tectonica.es
	Unit price: Europe 27.60 euro (surface freight mail included)                Rest    33.60 euro (air freight mail included)    3 issues: Europe 68.50 euro (surface freight mail included)                Rest    95.50 euro (air freight mail included) (Students: 20% discount when ordering the three issues. One issue 10%. Please send copy of the relevant document).
	Name:
	Profession:		(Fiscal) ID:
	Address:
	City/state/province:		Zip code:
	Country:
	Phone:		Fax:
	e-mail:
	I would like to receive no.:
	1   2   3			English edition
	8   9			Spanish edition with English translation
	Payment method:  credit card only	Visa       Master Card       Eurocard
		name of card holder:
		number:           expiry date: