PUBLICATIONS ORDER FORM

QTY PUBLICATION TITLE PUB.  NUMBER COST SUBTOTAL
         
         
         
         
         

SUBTOTAL

    

CANADIAN ORDERS ONLY:
w Add 5% GST BEFORE shipping/handling (GST Registration Number R 130 188 667)

    
SHIPPING/HANDLING:
w Add 12% of the subtotal (minimum $7 U.S.)
w Outside U.S. & Canada: 17%  (minimum $12)
w Air shipment to all other countries: 30% 		   
EXPEDITED SHIPPING (Sent same day via 2nd-day air):
w Add $35 along with regular shipping/handling charges.		    
TOTAL
    
 
CUSTOMER INFORMATION
Please check one:  r Member r Non-member ID #_____________
Name: ____________________________________________________________
Title: ____________________________________________________________
Organization: ____________________________________________________________
Address: ____________________________________________________________
City: ____________________________________________________________
State or Province: ______________________________ Phone Number: ______________________________
Postal Code: ______________________________ Fax: ______________________________
Country: ______________________________ Email Address: ______________________________
 
PAYMENT METHOD
Prepayment is required. Prices subject to change without notice.
CHECK
 r Check for $_______ enclosed. Make check payable to ITE.
CREDIT CARD r MasterCard r Visa r American Express

 
Cardholder's Name: _________________________________________ SIC Code (3 or 4 digit code on the back of your CC.

_________________________
Card Number: _________________________________________
Expiration Date: _________________________________________
Signature: _________________________________________

THANK YOU FOR YOUR ORDER!
PLEASE FAX OR MAIL THIS COMPLETED FORM TO: Institute of Transportation Engineers
1627 I ("Eye") Street, NW, Suite 600, Washington, DC 20006 USA
Telephone: +1 202-785-0060 | Fax: +1 202-785-0609