Agency Name:

The Order, Reference or Purchase Order Number
You Wish Us To Use for This Order:

Any Other Processing Number You Wish Us to Include
on the Invoice:

Type of Subscription:
Individual ($ 72.00 CDN) (One-Year Subscription)
Library or Institution ($ 152.00 CDN) (One-Year Subscription)
New Subscriber, Individual ($ 58.00 CDN) (First Year Only)
New Subscriber, Institution ($ 128.00 CDN) (First Year Only)
Two-Year Special, Individual ($ 120.00 CDN) (Two Years)
Two-Year Special, Institution ( $ 270.00 CDN) (Two Years)

Postage: Standard (Canada Post Mail) (included in rate)
Postage: Air Mail—All Foreign Destinations (add $24.00 CDN)

Your trade discount and net trade price will be as per our Rate Card. Terms and Claim Policy as per our Rate Card. If you do not have an up-to-date copy of our Rate Card, request one by e-mail • here • You will receive it promptly as e-mail attachment. You can also download the Rate Card directly as PDF file, • here •

Agency Address (If you are already handling our title, enter just your e-mail):
City or Town:
State or Province:		Postal or ZIP code or CEDEX:
Country:
Telephone:		Fax:
E-mail:

Client's Shipping Address:
City or Town:
State or Province:		Postal or ZIP code or CEDEX:
Country:
Telephone:		Fax:
E-mail: