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Order Processing Code: *5514
Type your data into boxes below and then print for mailing/faxing.
YES, send me ___ subscription(s) to Public Roads (PR) at $26.00 domestic ($36.40 foreign) per year.The total cost of my order is $ ___ .___
Price includes regular shipping and handling and is subject to change.
Personal name: |
_____________________________ |
Company name: |
_____________________________ |
Street address: |
_____________________________ |
City, State, Zip Code+4: |
_____ - _____ |
email address: |
_____________________________ |
Daytime phone including area code: |
____ -____ -______ |
Purchase order number (optional): |
_____________________________ |
| Check method of payment: | Check payable to Superintendent of Documents (mail orders only) |
| GPO Deposit Account: _____________ | |
| VISA | MasterCard | Discover/Novus | |
| credit card no:______________________ | |
| expires:(mm/yy) ___ / ___ |
___________________________________________________________
Authorizing signature if mailed or faxed. 10/99Other Transportation Books -- or... Fax form to 202-512-2250.
Phone orders to 202-512-1800 (7:30am-4:30pm EST).
| Mail form to: | Superintendent of Documents PO Box 371954 Pittsburgh, PA 15250-7954 |
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