ITE - ITE Article and Paper Order Form

ITE ARTICLE AND PAPER ORDER FORM

$5US for a mailed or e-mailed article or paper (Only articles from 1970-present can be e-mailed)
$10US for a faxed article or paper

QTY	TITLE	SOURCE Journal/Conference/Annual Meeting Year, Month, Page	COST	SUBTOTAL





TOTAL

SHIPPING METHOD	r Mail r E-mail r Fax

CUSTOMER INFORMATION

Name:	____________________________________________________________
Title:	____________________________________________________________
Organization:	____________________________________________________________
Address:	____________________________________________________________
City:	______________________________	State or Province:	______________________________
Postal Code:	______________________________	Country:	______________________________
Phone Number:	______________________________	Fax or E-mail:	______________________________

PAYMENT METHOD Prepayment is required. Prices subject to change without notice.

PURCHASE ORDER	r Enclosed. P.O.#_______________________________

CHECK	r Check for $_______ enclosed Make check payable to ITE

CREDIT CARD
Charge to my:	r MasterCard	r Visa	r American Express
	Cardholder's Name:	_________________________________________
	Card Number:	_________________________________________
	Expiration Date:	_________________________________________
	Signature:	_________________________________________

RETURN FORM BY FAX OR MAIL TO:
Zach Pleasant, Institute of Transportation Engineers, 1627 Eye Street, NW, Suite 600,Washington, DC 20006 USA
Telephone: +1 202-785-0060 | Fax: +1 202-785-0609