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Order your free exam copy now! - Hogrefe Publishing

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<strong>Order</strong> Form for Examination Copies<br />

q<br />

I would like to consider Behavior & Medicine 5th edition for possible course adoption. Please send me a <strong>free</strong> <strong>exam</strong>ination <strong>copy</strong>.<br />

<strong>Hogrefe</strong> <strong>Publishing</strong> reserves the right to evaluate complimentary <strong>copy</strong> requests for eligibility.<br />

Please enter the following information. All fields must be completed.<br />

Full Name<br />

Department<br />

School / University<br />

Street<br />

City State Zip<br />

Country (if outside USA)<br />

Phone Fax E-mail<br />

Course title / number<br />

Course date<br />

Number of Students q per year q per quarter q per semester<br />

Adoption decision date This book will likely be q optional q compulsory<br />

Book currently in use<br />

To request a complimentary <strong>exam</strong>ination <strong>copy</strong> of Behavior and Medicine by Danny Wedding and Margaret L. Stuber for<br />

possible course adoption, please send this form to:<br />

<strong>Hogrefe</strong> <strong>Publishing</strong> • 875 Massachusetts Avenue, 7th Floor • Cambridge, MA 02319<br />

Tel: (866) 823-4726 • Fax: (617) 354-6875 • E-Mail: customerservice@hogrefe.com<br />

Or order <strong>your</strong> <strong>exam</strong>ination <strong>copy</strong> online at: www.hogrefe.com<br />

<strong>Order</strong> Form to Purchase<br />

I would like to order: Price Total<br />

Copies of Behavior & Medicine by Danny Wedding and Margaret L. Stuber US $59.00<br />

Subtotal<br />

MA residents add 6.25% sales tax<br />

Postage & handling:<br />

USA: 1st item US $6.00, each additional item US $1.25<br />

Canada: 1st item US $8.00, each additional item US $2.00<br />

Shipping and Billing Information<br />

q Check enclosed<br />

q Charge my: q VISA q MC q AmEx<br />

Attention Teachers!<br />

Card # ___________________________________________________________________________________________<br />

CVV2/CVC2/CID #_ ____________________________ Exp date_ _____________________________________________<br />

Cardholder’s Name_________________________________________________________________________________<br />

Signature_________________________________________________________________________________________<br />

Shipping address:<br />

Name ___________________________________________________________________________________________<br />

Address _________________________________________________________________________________________<br />

________________________________________________________________________________________________<br />

City, State, ZIP ____________________________________________________________________________________<br />

E-mail ___________________________________________________________________________________________<br />

Phone / Fax ______________________________________________________________________________________<br />

Total<br />

<strong>Order</strong> online at<br />

www.hogrefe.com or call<br />

(800) 228-3749<br />

To purchase Behavior and Medicine by Danny Wedding and Margaret L. Stuber please send this form to:<br />

<strong>Hogrefe</strong> <strong>Publishing</strong> • 30 Amberwood Parkway • Ashland, OH 44805<br />

Tel: (800) 228-3749 • Fax: (419) 281-6883 • E-Mail: customerservice@hogrefe.com<br />

Or purchase <strong>your</strong> <strong>copy</strong> online at: www.hogrefe.com

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