Reprint Order Form

 

Please return this form by mail to:

SECON 2005/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.