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Place a check next to your subscription choices. Choose either IP-number or username/password subscription.   IP Number* Username/Password Category Print, Online Print, Online A G8 country ___$545 n/a B non-G8 country ___$420 n/a Total Amount: $_________________ Prices effective through December 31, 2009. * email address of contact person required for IP-number option ____________________________________
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___ Check Enclosed Payment should be in U.S. funds drawn on a U.S. bank, payable to Journal of Chemical Education. There is a $30 charge for returned checks. ___ Purchase Order Institutional purchase orders only. Attach hard copy of PO to this form and send by mail or fax. ___ Credit Card American Express, Discover, MasterCard, and VISA accepted. Credit Card # __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __ CVV2 Code _ _ _ Exp. Date: Month __ __  Year __ __ Signature of Cardholder: ____________________________________
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Journal of Chemical Education Subscription Department P. O. Box 1267 Bellmawr, NJ 08099-1267 Credit Card orders can be made by telephone or fax. Telephone: 1-800-691-9846 or 856-931-5825 Fax: 856-931-4115
Federal I.D. 42-093-5374 rev. 11-2009

The Journal of Chemical Education is a publication of the Division of Chemical Education, Inc., American Chemical Society.