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Community Works Journal
REQUEST FORM
Organizational Subscription
Please print this page and send a completed copy to:
Community Works Journal
c/o Community Works, Inc.
PO Box 1390 Claremont, CA 91711
Organizational subscribers will receive an invoice with each issue (4 per year).
Annual Cost: Annual total for budgeting purposes should be calculated based on 4 issues.
Calculate your cost as follows:
• 20-50 copies are $2.50 per copy + $12 s/h per issue
• 50+ copies are $2.50 per copy, s/h is included
—example: 32 copies X $2.50 per X 4 issues per yr. = $320 + $48 s/h = $368 per year
Please call us at 909-480-3966 if you have questions or need assistance.
| NAME OF ORGANIZATION: _________________________________________ |
DATE: _______ |
CONTACT PERSON: _________________________________
TITLE: ____________________________________________
DELIVERY ADDRESS: ________________________________________________
__________________________________________________________________
__________________________________________________________________
BILLING ADDRESS: __________________________________________________
__________________________________________________________________
__________________________________________________________________
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TEL: ___________________________ FAX: ________________________
EMAIL: _________________________________________
ORDER INFO & COST CALCULATION:
# of copies: ____ X per copy cost: ____ X 4 issues per yr = $______ + $_____ (s/h)
TOTAL ANNUAL COST = $ ______ (based on above calculation)
AUTHORIZING SIGNATURE: ________________________________
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