ASA Brochure Order Form

Corporate Members of ASA will automatically receive
1 bundle (25 complimentary copies)
Individual Members of ASA will each receive one (1) complimentary copy
Bulk brochures are sold in bundles of 25
$50.00 per bundle for ASA Members;
$75.00 per bundle for nonmembers

ASA Bulk Brochure Order Form
First Name:
Middle Initial:
Last Name:
Company:
Address: (include city, state, zip, country, etc.)
Phone:
Fax:
E-mail:
ASA Member?	Corp, Corp. Addl., or Individual: $50.00 per bundle
ASA Member?	nonmember: $75.00 per bundle
How many bundles would you like to purchase? (25 brochures per bundle)
Subtotal:
Shipping: ($5.00 per bundle for US shipments) IMPORTANT NOTE: If shipment is for outside United States, you must call (248) 848-3780 for shipping charge options and price.
Total:
Credit Card:	Visa
Credit Card:	MasterCard
Name as it appears on Credit Card:
Credit Card Number:
Expiration Date:

Photos courtesy of Russ Ringler and Jim Warner.