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| Order Form for Info To Go: Navigating the Internet |
Currently Publishing Volume 14 ISSN 1546-6027 (Electronic) [Prices subject to change without notice] |
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Institution/Corporation/Individual Name ____________________________________________________ Address_____________________________________________________________________________ ____________________________________________________________________________________ Billing Address (if different) ____________________________________________________________________________________ ____________________________________________________________________________________ Contact _____________________________________________________________________________ Telephone Number ____________________________________________________________________ Email _______________________________________________________________________________ MULTI-USER ACCESS: Multi-user Online Site License (12 monthly issues): __________________ x $199 = ______________ Multi-user Online Site License (12 monthly issues) with Archives: _______x $249 = ______________ Multi-user Online Site License (12 monthly issues) Flat Rate for Library Systems and School Districts (No limit on number of locations):__________________________________ x $299 = ______________ Multi-user Online Site License (12 monthly issues) Flat Rate for Library Systems and School Districts (No limit on number of locations) with Archives:_______________________ x $349 = ______________ SITE LICENSE INFORMATION Network Information: You may submit as many IP addresses as necessary to describe the network in use at the site identified below. If more than one site is involved, you may duplicate this order form and provide information for each additional site. Technical Contact: ____________________________________________________________________ Telephone Number: ____________________ Email: _________________________________________ Site Address: ________________________________________________________________________ ____________________________________________________________________________________ Domain Name: _______________________________________________________________________ IP Address(es): _______________________________________________________________________ ____________________________________________________________________________________ If using Individual User access under a site license, provide user name(s) and email address(es): _____________________________________________________________________________________ _____________________________________________________________________________________ INDIVIDUAL USER ACCESS Individual Online Subscriber (12 monthly issues): _____________________ x $ 96 = ______________ Individual Online Subscriber (12 monthly issues) with Archives: __________ x $146= ______________ Please provide e-mail address(es): _______________________________________________________ Individual Online Subscriber (12 monthly issues) with Archives for Students and Instructors with School E-mail Addresses: _______________________________________________ x $ 24 = _____________ Please provide e-mail address(es): _______________________________________________________ Method of Payment: ____ Purchase Order Number (if you wish to be invoiced)_____________________________________ ____ Check Enclosed ____ Visa or ____ Mastercard Credit Card Account Number _______________________________________ Exp ____ / __________ Authorization Number (if req'd) __________________________________________________________ Cardholder Name _____________________________________________________________________ Authorized Signature __________________________________________ Date ___________________ |
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Remittance Address: Info To Go P.O. Box 51301 Irvine, CA 92619-1301 Direct inquiries to (949) 461-0683, fax (949) 461-0775, or email sales@infotogo.com |
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