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+4: 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 no: expires:(mm/yy) VISA MasterCard Discover/Novus
___________________________________________________________ Authorizing signature if mailed or faxed. 3/00*
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.