AIP Center for History of Physics publication order form

Please print out, fill out, and mail to:

American Insitute of Physics
Center for History of Physics
One Physics Ellipse
College Park, MD 20740-3843

This order form may also be faxed to 301-209-0882.

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Send order to:
Full Name:
Institution:
Street Address:
City/State/Country/Zip:
Daytime Telephone Number:

Payment options:
I am enclosing payment with this order form Please bill me (please include additional service charge of $2.50 with this order form

Payment method:
Check enclosed (please make your check payable to: The American Institute of Physics
VISA MasterCard American Express

Account number:
Expiration date:
Cardholder name:
Signature (required):