Retrieval Order

Applicant’s data:

Institution name / Applicant’s name ..........................................................
Institution/Applicant’s address:	............................................................
post code:			............................................................
Company ID			............................................................
Tax ID				............................................................	
e-mail				............................................................
phone				............................................................
Order No.			............................................................
Date of Order			............................................................
Contact person (institutions only)	............................................................
Retrieval topic			............................................................	
.......................................................................................................………………………………………………
(topic = detailed and precise formulation, with foreign literature please provide keywords expressing the topic in the appropriate language)
language determination			..............................................................
time determination of requested sources	..............................................................
requested term of delivery			..............................................................
retrieval output 			a) printed copy		b) text file
Collection method		a) personally		b) by mail			c) by e-mail

Note				..............................................................
..........................................................................................................……….
method of payment			a) in cash		b) invoice
invoicing address		........................................................................
............................................................................................................
(please provide only if the invoicing address differs from the applicant’s address)

I have been acquainted with the conditions for providing STL retrieval services incl. retrieval fees.