ASP: ASP Conference Series Subscription Form

ASP Conference Series Subscription Form - Institutions/Libraries

Please read the price sheet before submitting your online form. Your form submission is secure.

* denotes required field

	BILL to Fill the 'Bill To' information in first. If your 'Ship To' information is identical you can click on the button to the right after you have filled in all of the 'Bill To' information. If your information is slightly different, you may edit accordingly.	SHIP to Fill the 'Bill To' information completely prior to clicking the button. If your information is slightly different you may edit accordingly.
Name	*
Institution	*
Department	*
Street Address	*
City	*
State	* (Foreign Country submissions please enter "none" if not applicable.)
Zip	*
Country	*
E-mail	*
Phone	*
Fax	*
	ASP Membership #	ASP Account #

Electronic Access, Subscription and Payment

E-Resources Contact Person:
(if different than Ship To)

E-mail Address:

IP Addresses*:

Check here if no change from current registration

*For single-site campuses only. See Terms and Conditions for allowed access.

Subscription Begin Date:

Subscription End Date:

Subscription Type and Tier (select one)

Electronic Only Tier 1 $850
Electronic Only Tier 2 $1,200
Electronic Only Tier 3 $1,500
Electronic Only Tier 4 $1,800

Print & Electronic Tier 1 $1,320
Print & Electronic Tier 2 $1,480
Print & Electronic Tier 3 $1,650
Print & Electronic Tier 4 $1,980

Subscription Cost

Shipping Method
(you must select one if you chose a Print & Electronic Tier)

Does not apply
USPS Media Mail $250/year
UPS Ground $450/year
IMS Canada $500/year
IMS Standard $600/year

Shipping Cost

Wire Transfer Fee ($40) If applicable. See below for payment methods.

Wire Transfer Fee

TOTAL

Method of Payment

Please send a Proforma Invoice/Quotation (subscription begins upon receipt of payment)

Wire Transfer (contact ASP Customer Service for instructions; add $40 for bank charges/service fees)

Credit Card:

Visa MasterCard Discover

Card #: Expiration Date:

Phone #: Name on Card:

Submitting order and payment constitutes acceptance of the Terms and Conditions of Use of Electronic Books.