Publications Order Form
Print this page, fill it out, and return to HACU via FAX or mail.
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Publications Order Form Print this page, fill it out, and return to HACU via FAX or mail. |
| PUBLICATIONS | COST | QUANTITY | TOTAL |
| HACU Membership Directory | $40.00 | $ | |
| The Voice (Monthly Newsletter) Hard Copy | $12.00 | 1-Year Subscription | $ |
| $20.00 | 2-Year Subscription | $ | |
| Membership Self-Adhesive Mailing Labels | $60.00 | $ | |
| Membership Diskette | $40.00 | $ | |
| SUBTOTAL | $ |
HACU Members receive a 10% discount. Shipping & handling charges not included.
SHIPPING & HANDLING CHARGES
| Number of items | 1 | 2-3 | 4-5 | 6 or more | |
| S&H Charges | $2.00 | $3.00 | $5.00 | $8.00 | $ |
| S&H | $ |
TAX EXEMPT #_______________(please enclose certificate)
Sales Tax if applicable* $________
*(TEXAS AND DISTRICT OF COLUMBIA RESIDENTS ONLY)
THANK YOU!! Payment in US Dollars ORDER TOTAL $________
PAYMENT METHOD CASH______ CHECK______ (make check payable to HACU - $25 fee for returned check)
CREDIT CARD: VISA______ MASTERCARD______ AMEX_______
ACCOUNT# ________________________________________________ Expiration date: ___________
Name as it appears on card: _____________________________________(please print)
Signature: __________________________________________________
SHIPPING INFORMATION (please print)
NAME:_______________________________________________ TITLE:_________________________
AGENCY:_____________________________________________
ADDRESS:____________________________________________
CITY/STATE/ZIP CODE:_________________________________________________________________
PHONE#: (_______)___________________________ FAX#: (_______)________________________
PLEASE ALLOW 4-6 WEEKS FOR DELIVERY
*8415 Datapoint Dr., Ste. 400 *San Antonio, TX 78229 *Phone: (210) 692-3805 *Fax: (210) 692-0823