Printable Publications Order Form

PRINTABLE PUBLICATIONS ORDER FORM Print, complete and fax this form to: 617-864-9405 or mail it to: Union of Concerned Scientists 2 Brattle Square Cambridge, MA 02238-9105, USA DOWNLOAD: Publications Order Form (PDF) Order
Title	Price	Qty	Amount
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Subtotal	_______
UCS member's discount: 20% off	(______)
Subtotal	_______
Shipping for orders under $50, add 20%; over $50, add 10%	_______
TOTAL	_______

Shipping Address
Name	_________________________________________________
Street	_________________________________________________
Apt #	_________________________________________________
City	_________________________________________________
State	_________________________________________________
Zip Code	_________________________________________________
Country	_________________________________________________
Telephone	_________________________________________________
Payment
Method	___ Visa ___ Mastercard ___ Check enclosed
Card #	___________________________________________
Expiration	___________________________________________
Billing Address (if different from shipping)
Name	________________________________________________
Street	________________________________________________
Apt #	________________________________________________
City	________________________________________________
State	________________________________________________
Zip Code	________________________________________________
Country	________________________________________________
Telephone	_________________________________________________