Superintendent of Documents Order Form

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Superintendent of Documents Order Form

Order Processing Code: *5697
Type your data into boxes below and then print for mailing/faxing.

YES , send me subscription(s) to FDA Veterinarian (FDAV) at $18.00 domestic ($25.20 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:
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: credit card number expires:(mm/yy)
VISA MasterCard Discover/Novus

___________________________________________________________
Authorizing signature if mailed or faxed. 2/01

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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Web page updated by hd - September 9, 2008, 11:18 AM ET