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Associate Order Form |
The Institute accepts telephone, mail, and fax orders. Credit card orders may be phoned, mailed or faxed to the Institute. Email is not a secure method of submitting credit card information. Checks and money-orders must be mailed. A completed order form must accompany all mail and fax orders. Payment in U.S. dollars only.
Hunt Institute for Botanical Documentation
5th Floor, Hunt Library
Carnegie Mellon University
4909 Frew Street
Pittsburgh, PA 15213-3890
Telephone: (412) 268-2434
Fax: (412) 268-5677
Email: huntinst@andrew.cmu.edu (for questions only; do not email credit card information)Customer Information
Name _________________________________________________ Address _________________________________________________ _________________________________________________ City, State, Zip _________________________________________________ Country ___________________ Phone Number ___________________ Fax Number ___________________ Email Address ___________________
Check here if you would like to receive email announcements from the Institute. Your privacy is very important to us. We do not sell or distribute our mailing lists. If you do choose to receive email announcements from us, please add our email (huntinst@andrew.cmu.edu) to your address book because your spam filter may block our mailings.
Associate Membership Application
Associate Membership is by calendar year, with term of membership lasting from January to December regardless of when you join. The deadline for joining or renewing for 2010 membership is 1 October 2010. The publications available as membership benefits are those issues or catalogues published during the year of membership.
Indicate level of membership:
2010 Regular Associate ($35)
The Patron, Sustaining and Benefactor levels receive Huntia, the exhibition catalogue and the Redouté datebook.
Total ___________
Acknowledgment
May we acknowledge your generosity by listing your name in the fall Bulletin?
______________________________________________
Name as you would like it to appear in print
Gift Membership Application
Gift membership in the Associates program is by calendar year, with term of membership lasting from January to December regardless of when you join. The deadline for joining or renewing for 2010 membership is 1 October 2010. The publications available as membership benefits are those issues or catalogues published during the year of membership. We can send an announcement card to you or directly to the recipient of the membership.
Indicate level of membership:
The Patron, Sustaining and Benefactor levels receive Huntia, the exhibition catalogue and the Redouté datebook.
Recipient Information
If you would like us to mail the announcement directly to the recipient, please include their name and address.
Name _________________________________________________ Address _________________________________________________ _________________________________________________ City, State, Zip _________________________________________________ Country ___________________
Total ___________
Payment Information
Total ___________ Please indicate method of payment:
Card number __________________________________________ 3-digit security code __________________________________________ Expiration date __________________________________________ Name on card
__________________________________________ Signature __________________________________________ Date __________________________________________
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URL for this page: huntbot.andrew.cmu.edu /HIBD/Services/OrderForm.shtml |
