US Government Information

Superintendent of Documents Order Form

Order Processing Code: *5726
To order periodicals listed on this site: print, complete, and forward this order form to the: Superintendent of Documents, PO Box 371954, Pittsburgh PA 15250-7954,
Phone 202-512-1800 (8am-4:30pm EST) or Fax 202-512-2250.

Qty.     List ID             Subscription Title                    Price    Total

_________________________________________________________________________________
________|    SCUB    |    Survey of Current Business             | $50.00|______


Qty.         S/N              Publication Title                     Price    Total 
________________________________________________________________________________
_____|  003-010-002_____|_________________________________________| $_____|______
_____|  003-010-002_____|_________________________________________| $_____|______
_____|  003-010-002_____|_________________________________________| $_____|______
_____|  003-010-002_____|_________________________________________| $_____|______
_____|  003-010-002_____|_________________________________________| $_____|______
_____|  003-010-002_____|_________________________________________| $_____|_______
_____|  003-010-002_____|_________________________________________| $_____|_______
The total cost of my order is $__________. Price includes regular shipping and 
handling and is subject to change. International customers, please add 25%.

Attention line: ________________________________ 

Company name:  __________________________________

Street address: __________________________________

City, State, Zip+4: __________________________________

Daytime phone including area code: _________________________________
Purchase order number (optional): __________________________________

Check method of payment:
___ Check payable to Superintendent of Documents
___ GPO Deposit Account __ __ __ __ __ __ __ - __
__ VISA  __ MasterCard  __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __  |__ __ / __ __|                                                                         Expiration Date ___________________________________________________________Authorizing signature            9/96