Reprint Order Form

 

Please return this form by mail to:

SECON 2004/IEEE Communications Society

3 Park Aveue, 17th Floor

New York, NY 10016

or Fax to: 1-212-705-8996

 

Reprint Costs

 

Number of Pages:

1-5

6-8

9-12

13-16

17-20

21-24

First 100 copies (minimum order)

$170

$250

$335

$420

$505

$590

Additional 100 copies

$25

$35

$45

$55

$70

$80

 

 

(Please Type or Print All Information Clearly)

               

Name      _______________________________________________________                Date ____________________________

               

Organization ___________________________________________________ Department ______________________

               

Address                  ______________________________________________________ Mail  Stop _______________________

               

City  _____________________________  State/Province_________  Postal Code _________     Country ___________ 

               

Telephone ___________________________________                          Fax ____________________________________

 

E-mail Address ___________________________________________________________________________________

               

Paper Reference Number/Title of Paper          

________________________________________________________________________________________________

               

Session No./Session Name

________________________________________________________________________________________________

 

Author(s) ________________________________________________________________________________________

 

Calculating Reprint Order Cost:         _______________       ________________    =      _______________________              
                                                                                Quantity ordered              No. of pages in Paper                   Total payment due(from chart above)

Credit to account (IEEE use only)

 

Payment Method

            Check* or money order (stapled to this form). Check or money order #   

            Purchase Order #

            Charge to my:         VISA     MasterCard      American Express

                 

Card Number ______________________________________________ Exp. Date: / Month / Year ___________

                               

Signature__________________________________________________ / Month / Day  / Year _______________

 

*  Orders will be shipped parcel post, UPS, or insured surface mail (overseas) approximately 6-8 weeks after publication of proceedings; please call for pricing on rush orders.

**    Checks must be drawn in U.S. dollars on a U.S. bank and made payable to the IEEE Communications Society. This check should not include payment for registration or reprints, which should be paid with separate checks. Receipts will not be issued.