Superintendent of Documents Subscription Order Form
[ ] YES, enter my subscription as follows: | Charge your order: MC or Visa |
The total cost of my order is $________. Price includes regular shipping and handling and is subject to change. International customers please add 25%. | |
__________________________________ | For privacy, check the box below: |
Company or personal name | [ ] Do not make my name available to other mailers |
__________________________________ | |
Additional address/attention line | Check method of payment: |
__________________________________ | [ ] Check payable to Superintendent of Documents |
Street address | [ ] GPO Deposit Account: |
__________________________________ | #________________________ |
City, State, Zip Code | |
__________________________________ | [ ] VISA [ ] Mastercard |
Daytime phone including area code | #_________________________ |
__________________________________ | |
Purchase order number (optional) | ________Expiration Date |
____________________________________________________ | |
Authorizing signature | |
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Mail to: |
Thank you for your order! |