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AMERICAN SOCIETY OF PRIMATOLOGISTS |
| Qty | Price | Amount | |
| ____ | 2004 ASP Calendar (All proceeds go to the ASP General Fund and to the Conservation Fund) | $15.00 | $_______ |
| ____ | Shipping & Handling per calendar |
$3.95 | $_______ |
| ____ | Credit Card Payers only: Voluntary contribution to cover credit card processing fee (4% recommended) |
$_______ |
Total to put on card or on check: |
$_______ |
| ___Check or Cash | ___Discover | |
| ___Visa ___Mastercard | Card number:____________________________ | Exp. date:______________ |
| Authorizing Signature: __________________________________________________________________ | |||
| Shipping Address: | |||
| Name | _________________________________________________________________________________ | ||
| Address | _________________________________________________________________________________ | ||
| _________________________________________________________________________________ | |||
| _________________________________________________________________________________ | |||
| _______________________________________________________ | Phone | _________________ | |
CHECKS SHOULD BE MADE OUT TO:
American Society of Primatologists
Mail Order Form and checks to:
Evan L. Zucker, Treasurer, ASP
Department of Psychology, Box 194, Loyola University, 6363 St. Charles Ave.
New Orleans, LA 70118 U.S.A., (504) 865-3255 [fax: (504) 865-3970]
zucker@loyno.edu