|
China Medipharm Insights Subscription form
Please complete the following form
and fax to 1-(614)451-6453 Email: itti@asiawind.com
| |
Subscriber Info |
Shipping address (if
different) |
| Name |
|
|
| Street address |
|
|
| City |
|
|
| State/Prov. |
|
|
| Country |
|
|
| Zip code |
|
|
| Phone |
|
|
| Fax |
|
|
| Email |
|
|
Subscription rates FOR
SINGLE USER -12 issues/year (Please inquire for
multiple users)
| Electronic
issues ** |
US$3600 |
* The price listed
on the left is for SINGLE USER ONLY. Libraries may subscribe at the commercial
single user rate. The report may not be electronically distributed within or outside the library.
Patrons may use the report in the library and print out hard copies under the Federal regulations on
reproduction for limited personal use.
** New price for 2003
|
| Shipping (printed copies, additional
US$60/year) |
|
| 1996 (6 issues, US$500) |
|
| 1997__ 1998__ (12 issues
each, US$950/year) |
|
| 1999__ 2000__ (12 issues
each US$950/year) |
|
| Tax (Ohio residents 5.75% if
applicable) |
|
| Bank charge 3.5% for credit card billing |
|
|
Total
|
|
___ Payment by : MasterCharge__ Visa___ AmericanExpress___
Card number: _______________________________ Expiration date:______
Cardholder's name: ________________________________________________
___ Payment by bank draft, cashier check, money order, to
"InTechTra, Inc."
By signing below, I affirm
that I shall not reproduce or re-distribute
the publication in the electronic form or in
hard copies for the use by others.
I authorize charge to my
credit card (if applicable) for my subscription.
______________________________________________________________
(Signature)
(Date)
|
©
Copyright. 1996-2003. InTechTra, Inc., Columbus, Ohio 43220