PUBLICATIONS ORDER FORM
| QTY | PUBLICATION TITLE | PUB. NUMBER | COST | SUBTOTAL |
SUBTOTAL |
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CANADIAN ORDERS ONLY: w Add 6% GST BEFORE shipping/handling (GST Registration Number R 130 188 667) |
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| 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% |
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| EXPEDITED SHIPPING (Sent same day via 2nd-day
air): w Add $35 along with regular shipping/handling charges. |
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TOTAL |
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| CUSTOMER INFORMATION |
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| Please check one: | r Member | r Non-member |
| Name: | ____________________________________________________________ | ||
| Title: | ____________________________________________________________ | ||
| Organization: | ____________________________________________________________ | ||
| Address: | ____________________________________________________________ | ||
| City: | ______________________________ | State or Province: | ______________________________ |
| Postal Code: | ______________________________ | Country: | ______________________________ |
| Phone Number: | ______________________________ | Fax: | ______________________________ |
| PAYMENT METHOD Prepayment is required. Prices subject to change without notice. |
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| CHECK |
r Check for $_______ enclosed Make check payable to ITE. |
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| CREDIT CARD | |||
Charge to my: |
r MasterCard | r Visa | r American Express |
| Cardholder's Name: | _________________________________________ | ||
| Card Number: | _________________________________________ | ||
| Expiration Date: | _________________________________________ | ||
| Signature: | _________________________________________ | ||
THANK YOU FOR YOUR ORDER!
PLEASE FAX OR MAIL THIS COMPLETED FORM TO: Institute of Transportation Engineers
1099 14th Street, NW, Suite 300 West, Washington,
DC 20005-3438 USA
Telephone: +1 202-289-0222 | Fax: +1 202-289-7722