 Journal Subscription Form
PLEASE PRINT THIS FORM AND MAIL OR FAX
TO IAHCSubscribers may specify any issue
to begin the subscription.
Individual Subscription - 1 year (4 issues)
US - $80 | Canada - $90 | International - $96
Institution Subscription - 1 year (4 issues)
US - $130 | Canada - $140 | International - $146
| Name |
|
_____________________________________ |
| Address |
|
_____________________________________ |
| City |
|
_____________________________________ |
| State/Province |
|
_____________________________________ |
| Zip |
|
_____________________________________ |
| Country |
|
_____________________________________ |
| Phone |
|
_____________________________________ |
| Fax |
|
_____________________________________ |
| Email |
|
_____________________________________ |
Subscription enrollment may be paid by check or credit card.
Credit card (Circle one): Visa
Mastercard Discover
Credit card # _______________
Name on credit card __________________
Expiration date ________
Signature________________________________
Professional Nursing Resources, Inc.
2090 Linglestown Road
Suite 107
Harrisburg, PA 17110
Phone: 717-703-0033
Fax: 717-234-6798
|
