HCSU Order Form

HCSU Order Form

We accept major credit cards!

Price List:
North America $195
Outside North America: Add $10 US for shipping and handling

Discounts: Participants in Vendor Survey and HC customers offered $10 discount;

Total of $15 discount for purchase of both HCSU and Human Communications Digest at same time

Note: Checks should be made payable to Human Communications and all orders must be paid in U.S. currency drawn on a U.S. bank.

Yes! I want to purchase the HC Standards Update.

Choose one of the following payment options:

Enclosed is a check or money order.
Charge my credit card.
Please bill me.

Card type:

CC Number:

CC Expiration Date:

-- Please use mm/dd/yy format.

Sign Here (if applicable):

Enter the date of order:

-- Please use mm/dd/yyyy format.

Enter purchase order number here:

Please provide the following mailing information:

First name

Last name

Middle initial

Title

Organization

Street address

Address (cont.)

City

State/Province

Zip/Postal code

Country

Work Phone

FAX

E-mail

URL

Fax or phone in your order to: +1-203-746-4367
E-Mail: jrafferty@worldnet.att.net

Or mail in your order:
Human Communications Digest
12 Kevin Drive
Danbury, CT 06811-2901

First name
Last name
Middle initial
Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
FAX
E-mail
URL