PRINT ORDER FORM CQ Press Mail-in/Fax Order Form Shipping Please ship my order to: Fields marked with asterisks (*) must be completed for order fulfillment *Name________________________________________________ Title_____________________________________________ Organization_________________________________________ *Street address_______________________________________ (We must have a street address. We can not ship to P.O. Box addresses) *City_______________________________ *State/Province___________________ *ZIP/Postal Code_____________ *Country_____________ *Phone (____)__________________ Fax___________________ E-mail________________ Please bill my order to (if different from shipping address): (Please note that we are only able to bill libraries, institutions, organizations, and corporations. We can not bill individuals. Individuals need to pay by credit card, check, or money order.) Fields marked with asterisks (*) must be completed for order fulfillment *Purchase Order #____________________ *Name________________________________________________ Title_____________________________________________ *Organization_________________________________________ *Address_______________________________________ *City_______________________________ *State/Province___________________ *ZIP/Postal Code_____________ *Country_______________ *Phone (____)__________________ Fax____________________ E-mail_________________ Title ordering Book Title___________________________________________________ ISBN_____________________________ Number of Copies______________ Price per copy ______________ Total price______ Book Title___________________________________________________ ISBN_____________________________ Number of Copies______________ Price per copy ______________ Total price______ Book Title___________________________________________________ ISBN_____________________________ Number of Copies______________ Price per copy _______________Total price______ Book Title___________________________________________________ ISBN_____________________________ Number of Copies______________ Price per copy ______________ Total price_______ Order subtotal $__________ Shipping/Handling $__________ Foreign shipments: (See table below) Sales tax, if applicable $__________ Customers whose orders are being shipped to D.C., Virginia or CA, add sales tax -- DC: 5.75%; VA: 5.0%; CA: 7.25%; CT: 6.0% Tax exempt organizations MUST provide tax exempt number: ________________ Total order $___________ Shipping and Handling charges: Prepaid and credit card orders: 8.5% of order total. Minimum shipping charge: $8.50 For billable orders, actual UPS charges plus handling will be prepaid and added to your invoice. For overnight or international shipping charges, please contact Customer Service at 1-866-4CQPRESS or customerservice@cqpress.com. Payment Options: Check or money order: Enclosed is my check or money order for $________ payable to Congressional Quarterly Books (please include shipping/handling charges and sales tax, if applicable). Credit card: Charge my (check one) [ ] VISA [ ] MasterCard [ ] American Express in the amount of $__________ Account Number [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] Expiration Date [ ] [ ] [ ] [ ] Phone number _(___ )___________________________ Signature ____________________________ Print name____________________________________________ Your credit card will be billed when books are shipped. Billing: Please note that we are only able to bill libraries, institutions, organizations, and corporations. We can not bill individuals. Individuals need to pay by credit card, check, or money order. [ ] Please send me your most current catalog. Mail your order to: CQ Press Customer Service and Order Dept. WEB2 1255 22nd St., N.W. Suite 400 Washington, D.C. 20037 Or Fax your order to: (202) 729-1923 Attn: Customer Service To place an order by phone, or to ask questions about a CQ Press title or an order you've placed, please contact our book customer service department: Toll-free at: 1-866-4CQPRESS or 866-427-7737 In metropolitan Washington, D.C.: 202-729-1900 E-mail: customerservice@cqpress.com Customer service hours are 9:00 a.m. to 5:00 p.m. Eastern Time. Delivery We process orders received daily and can generally provide shipment within a few days of receipt of your order. Nevertheless, please allow 2 to 4 weeks for delivery of in-stock titles. For RUSH shipment at additional cost, call our Customer Service Department. CQ's Guarantee: Review any book for 30 days. If it doesn't meet your needs, return it for a full refund or credit to your account. All prices are subject to change without notice. Thank you for your order!