JSM PROCEEDINGS
ORDER FORM

CD-ROM INDIVIDUAL ORGANIZATION QUANTITY TOTAL
2009 COMPLETE SET $50 $295 __________ __________
2008 COMPLETE SET $50 $295 __________ __________
2007 COMPLETE SET $50 $295 __________ __________
2006 COMPLETE SET $50 $295 __________ __________
2005 COMPLETE SET $50 $295 __________ __________
2004 COMPLETE SET $50 $295 __________ __________
2003 COMPLETE SET $50 $295 __________ __________
2002 COMPLETE SET $50 $295 __________ __________
PAYMenT

inforMATion

T

otal Amount Due $
orDer MUST Be PrePAiD. Please make check or money order payable to the American Statistical Association in U.S. funds drawn on
a U.S. bank. Return this form with your credit card information or payment to ASA, Department 79081, Baltimore, MD 21279-0081,
or fax to (703) 684-2037 (credit card only).
P L E A S E INDICATE T H E A D D R E S S W H E R E Y O U W O U L D L I K E T O R E C E I V E Y O U R O R D E R .
❑ Dr. ❑ Mr. ❑ Mrs. ❑ Ms. ASA Customer ID (if applicable)_______________________________
First Name_____________________________________ MI______ Last Name______________________________________________________
Organization____________________________________________________________________________________________________________
Address (No P.O. Boxes)__________________________________________________________________________________________________
City___________________________________________________________ State/Province____________________________________________
Country_______________________________________________________ ZIP+4/Postal Code________________________________________
Phone____________________________________________________ Fax__________________________________________________________
Email__________________________________________________________________________________________________________________
❑ Check/Money Order enclosed
Credit Card: ❑ American Express ❑ MasterCard ❑ VISA
Name on Card___________________________________________________________________________________________________________
Card #_________________________________________________________________________________________________________________
Exp. Date______/______ Signature of Cardholder______________________________________________________________________________
Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24  |  Page 25  |  Page 26  |  Page 27  |  Page 28  |  Page 29  |  Page 30  |  Page 31  |  Page 32  |  Page 33  |  Page 34  |  Page 35  |  Page 36  |  Page 37  |  Page 38  |  Page 39  |  Page 40  |  Page 41  |  Page 42  |  Page 43  |  Page 44  |  Page 45  |  Page 46  |  Page 47  |  Page 48  |  Page 49  |  Page 50  |  Page 51  |  Page 52  |  Page 53  |  Page 54  |  Page 55  |  Page 56  |  Page 57  |  Page 58  |  Page 59  |  Page 60  |  Page 61  |  Page 62  |  Page 63  |  Page 64  |  Page 65  |  Page 66  |  Page 67  |  Page 68  |  Page 69  |  Page 70  |  Page 71  |  Page 72  |  Page 73  |  Page 74  |  Page 75  |  Page 76  |  Page 77  |  Page 78  |  Page 79  |  Page 80  |  Page 81  |  Page 82  |  Page 83  |  Page 84  |  Page 85  |  Page 86  |  Page 87  |  Page 88  |  Page 89  |  Page 90  |  Page 91  |  Page 92  |  Page 93  |  Page 94  |  Page 95  |  Page 96  |  Page 97  |  Page 98  |  Page 99  |  Page 100