SOLVENT ORDER FORM

	SOLVENT can be purchased by sending this order form and a bank check, certified check or money order, payable to Parsons Brinckerhoff Quade & Douglas, Inc., to the address below. The Memorial Tunnel Interactive CD-ROM & Comprehensive Test Report, which was produced following Phase III of this historic program, can also be ordered using this form.

	Mail requests to:	SOLVENT Tunnel Ventilation Division Parsons Brinckerhoff Quade & Douglas, Inc. One Penn Plaza New York, NY  10119 USA

	Title (Mr./Ms./Dr./Professor etc.)	_____________________________________________
	First Name	_____________________________________________
	Last Name	_____________________________________________
	Organization	_____________________________________________
	Address	_____________________________________________
		_____________________________________________
		_____________________________________________
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	Phone number	_____________________________________________
	Fax number	_____________________________________________
	E-mail	_____________________________________________

	SOLVENT
	Quantity	__________________
	Please visit our web site at www.tunnelfire.com to find out the current price for each SOLVENT license.
	Interactive CD-ROM & Comprehensive Test Report
	Quantity	__________________
	TOTAL AMOUNT ENCLOSED _____________________________
	Payment should be in US $, payable to Parsons Brinckerhoff Quade & Douglas, Inc.