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Form for publishes to order seals for their Outstanding Academic Titles.OAT Seals Order Form
Send order to:
| Aryn Kyer, Customer Service Representative |
| Advertising |
| CHOICE |
|
575 Main Street |
| Suite 300 |
| Middletown, CT 06457 |
| subscriptions@ala-choice.org |
| Fax form to: 860-346-8586 |
| Name: |
| Firm: |
| Mailing Address: |
| City, State, Zip: |
| Phone Number: |
| Fax Number: |
| E-mail Address: |
Select method of payment (in US dollars drawn on US bank)
 Check/money order enclosed(payable to "Choice") |
Send invoice (term 30 days) |
| Charge my credit card: | MasterCard |
Visa |
American Express |
Card number:____________________________________
Expires:________________
Signature: _________________________
Print name: _________________________
Telephone number:____________________
OAT Seal Digital File: $25.00 per use (i.e., ads, Web page, book cover)
Quantity to be produced:_______ x $25.00 = $_______
Quantity to be produced:_______ x $25.00 = $_______
Seals: 15¢ per seal
Quantity:________ x 15¢ = $_______
Shipping & Handling = $7.50 (international orders may incur additional shipping fees)
Total = $______
| FOR ACCOUNTING USE ONLY: 12-404-4109-3900 |