EDR - Market Research Publications Service Request Form

	Market Research Publications Service Request Form

Directions
Use this form to order EDR Market Research Reports. Complete sections 1-3 and press "Submit Request" at the bottom of this form. You will receive an order confirmation.

1. Customer Contact Information

If you're an existing EDR client, please login here:

Please provide your contact information. Fields in RED must be completed for this form to be processed.

Mr. Mrs. Ms.

First Name:

Last Name:

Title:

Company:

Street address:

City:

ST:

Zip Code:

Phone:

Fax:

E-mail:

How did you hear about us?
EDR Salesperson
Mail
Fax
Internet Search
Colleague
Other Web site
Advertisement
Tradeshow
Other (specify)

2. Publications
Choose the product(s) or service(s) you want to order by clicking on the box.

Market Research Reports
	2005 Public Comments Scorecard: EPA's "All Appropriate Inquiries" Proposed Rule (color, bound report)		$195*
	2005 Environmental Site Assessment Industry Benchmark Report (color, bound report)		$495*
	For purchasers of the color, bound report, additional copies are available in the following formats:
		additional hard copy (color, bound report)	$495*
		Multi-user corporate license for internal use (PDF format)	$495
		No additional copy
* plus shipping and handling.

3. Submit Order

Billing Information
You will be invoiced by mail.

You must press submit to complete this order.

For information please contact:

Nicole Navarro

Email:	nnavarro@edrnet.com
Office:	(800) 352-0050 ext. 169

Environmental Data Resources, Inc.: www.edrnet.com