Culture Briefings subscription order form

Annual Subscription Orders (ISBN 0-937281-33-6)

_____ Please start our Culture Briefings Annual Subscription using a password or IP address recognition. I understand this gives us full access 24 hours a day, seven days a week to the continually updated Culture Briefings database at www.CultureBriefings.com for one year. I further understand that we can print out and distribute for one year the Culture Briefings at www.CultureBriefings.com to our clients, patrons or students. Price: US$129.00.

Please select a:

User Name: ___________________________

Password: ___________________________

Please enter your IP address or IP address range:

______________________________________________________________________________________

Please complete for all orders

Will you be using a purchase order? If so, please enter its number here: _____________________________

If enclosing a check or money order, please make it payable in U.S. dollars to the: Geotravel Research Center, 1970 E. Osceola Pkwy., Suite 352, Kissimmee, FL 34743, USA.

Please enter your contact information below:

_____ We are a library, educational institution or

Name: _____________________________________ government agency. Here's our bill to address:

Organization:________________________________ Name: _____________________________________

Address:____________________________________ Organization:________________________________

City:_______________________________________ Address:____________________________________

State/Province:_______________________________ City:_______________________________________

Zip/Postal Code: _____________________________ State/Province:_______________________________

Country: ___________________________________ Zip/Postal Code: _____________________________

E-Mail Address: _____________________________ Country: ___________________________________

E-Mail Address: _____________________________