Superintendent of Documents Order Form

To order this periodical, print, complete, and mail this order form to the: Superintendent of Documents, P.O. Box 371954, Pittsburgh PA 15250-7954. Phone orders to 202-512-1800 (8am-4:30pm EST) or Fax orders to 202-512-2250.

Order Processing Code: *5697

YES, send me_____ subscriptions to Humanities (NR) at $24 per year.

The total cost of my order is $__________. Price includes regular shipping and handling and is subject to change.

Attention line:____________________________________________________

Company name:______________________________________________________

Street address:____________________________________________________

City, State, Zip Code + 4:_________________________________________

Daytime phone (incl. area code):___________________________________

Purchase order number (optional):__________________________________

Check method of payment:

___ Check payable to Superintendent of Documents

___ GPO Deposit Account __ __ __ __ __ __ __ - __

___VISA ___ MasterCard

__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

__ __ / __ __(expiration date: mm/yy)

___________________________________________________
Authorizing signature

Thank you for your order!

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