A r c h i v e d  I n f o r m a t i o n

Superintendent of Documents Order Form

To order this periodical, print, complete, and mail this order form to the: Superintendent of Documents, PO Box 371954, Pittsburgh PA 15250-7954. Phone orders to 202-512-1800 (8 a.m. - 4:30 p.m. EST) or Fax orders to 202-512-2250.

Order Processing Code: *5697

YES, send me_____ subscriptions to American Rehabilitation (ARHB) at $15.00 domestic ($18.75 foreign) per year.

The total cost of my order is $__________. Price includes regular shipping and handling and is subject to change.

Attention line: _______________________________________   Company name: ________________________________________  
Street address: _______________________________________  City, State, Zip Code+4: ______________________________________   Daytime phone including area code:__________________________________  Purchase order number (optional): __________________________________  
 Check method of payment:
 ___ Check payable to Superintendent of Documents  ___ GPO Deposit Account __ __ __ __ __ __ __ - __  ___ VISA  ___ MasterCard   __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __  __ __ / __ __ (expiration date: mm/yy)     Thank you for your order!
 ___________________________________________________________ Authorizing signature                                6/99

 

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