Order Form AAPS PharmSci Supplement -
2000 Abstracts
Now Available on CD-ROM.
Coming soon in print. Please print, complete, and FAX or mail this form to address
shown below.
CD-ROM is compatible with Mac, Win 3x and Win 9x.
| Name: | | If you are an AAPS member,
please enter member number: | | Organization: | | Address: | | City-State-Zip: | | Daytime phone: | | FAX number: | | E-mail address (print
very clearly): |
Purchase
Fees:
| Product: | Members: | Nonmembers: | Shipping | | CD-ROM Version | $49.95 | $74.95 | Free | | 4 1/2% Sales Tax for
VA Residents Only | $6.75 | $10.13 | | | 4 1/2% Sales Tax for
VA Residents Only | $4.50 | $6.75 | |
Total amount submitted: ________
| Payment by check: | [ ] Check (Check Number ___________
Payable to AAPS in U.S. dollars, drawn on a U.S. bank. |
| Please charge my: | [ ] Visa | [ ] MasterCard | [ ] American Express | [ ] Discover |
Card Number:
| Expiration Date:
| | Cardholder Name (Print) | Auth. Signature:
|
|
AAPS does not
accept purchase orders |
|
Please FAX or
mail the completed purchase form to: AAPS Scientific Affairs
Dept. Attn: Andrew M Cohn
FAX: (703) 243-9650 2107 Wilson Blvd., Suite 700 Arlington, VA 22201-3046
|
|