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2012 Directory Order Form

Please use this form to order copies of the
SAME Directory of Member Companies and Organizations.

Please Note: Payment is required prior to mailing.

To become a member and receive the discounted Directory price go to www.same.org/join. After you have filled out the membership form, return to this page to complete your order. Be sure you check the box "I joined SAME today" to receive the discounted member price.+

Please direct all other inquiries to Eileen Erickson at erickson@same.org, or 703-549-3800, ext. 145.

The Directory will be shipped to addresses located within the U.S. and its territories only; no foreign addresses.


+SAME Membership is Subject to verification.

 

Person Placing the Order: *
Your telephone number: *
Your e-mail address: *
SAME Member ID Number:(if applicable)
Check this box if you joined SAME online today and do not yet have a Member ID Number.
Please enter the number of copies to be mailed at the SAME Member rate of $90 each.
@ $90
Please enter the number of copies to be mailed at the Non-member (surface mail to U.S. and Possessions only; no foreign addresses) rate of $180 per copy.
@ $180
TOTAL
Company or Public Agency Name (if applicable):
Address to which the Directory should be mailed: *