Order Form
| ORDER SUMMARY | COSTS (US$) |
| GEOPHYSICAL LOGS | $ |
| SEISMIC DATA | |
| SYNTHETIC SEISMOGRAMS | |
| LITHOFACIES AND PALAELOGS | |
| TECHNICAL REPORTS | |
| | |
| | |
| | |
| | |
| | + |
| | - |
| | + |
| PLUS: DESPATCH COSTS | + |
| PLUS: VAT (14%) FOR RSA COMPANIES | + |
| TOTAL | $ |
WE AGREE TO ABIDE BY THE CONDITIONS AS SPECIFIED IN THE AGREEMENT FOR SALE OF TECHNICAL DATA INCLUDED IN THIS CATALOGUE.
Name and Signature .........................
Company ..................................
Address ..................................
.......................................
.......................................
Tel: ................Fax:.................
Name and Address to which data should be sent if different from above:
......................................
......................................
......................................
Order checked by Petroleum Agency SA representative ...........
Orders should be sent by post or fax to:
Petroleum Agency SA
Petroleum House
P.O Box 5111
Tygervalley
7536
Republic Of South Africa
Fax: (27) 21 938 3520