RAND Texas Order Form

Print this order form, then mail or fax to:
RAND Texas Subscriptions
Attention: Accounting
1776 Main Street
P.O. Box 2138
Santa Monica, CA 90407-2138
FAX: 310/451-7028

PHONE: 415/453-0388

Faxed orders will be processed within one business day. Mail orders will be processed within one day of receipt.

All prices quoted are in U.S. dollars and are subject to change.

Circle the Number of Subscribers

Number 1 2 3 4 5 6 7 8 9 10-99
Amount $270 $445 $620 $795 $970 $1145 $1320 $1495 $1670 Add $95 per subscriber

 

SUBSCRIBER Name ______________________________________________

Additional subscriber name(s):_______________________________________

Company name _________________________________________________

Mailing Address:_________________________________________________

Contact name ___________________________________________________

E-mail address (required) ___________________________________________

Street address __________________________________________________

City, State, ZIP __________________________________________________

Country________________________________________________________

Day-time phone (_____) ____________________________________________

Fax number (_____) _______________________________________________

Amount enclosed or to be billed: __________________

Bill by credit card.
(__) American Express (__) VISA (__) MasterCard

Credit card number _________________________________ Exp Date ________

CARDHOLDER NAME ___________________________________

Signature _______________________________________________________

(__) Check or money order payable to RAND Texas.

 

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