Offprints Order Form

This is a prepaid  order  for  50 offprints of  the following article  published in in the Houston Journal of Mathematics

Volume:

Issue:

Year:

Title of article:

Author(s):

Pages:  pp.      -       

Number of pages:      

Charges for Offprints:

First 4 pages: $17, each additional page: $1

Total: $

Offprints and a complimentary copy of this issue should be shipped to the following  address:

Name:

Address Line  1:

Address Line  2:

Address Line 3:

City:

State:

ZIP  Code:

Country:

Postage:

US: $5    (for first 20 pages) and additional $2.50 for each additional 20 pages

Foreign: $175 ( for first 20 pages) and additional $75.00 for each additional 20 pages

 

Total amount:

$            for  offprints  

$            for postage

 

Payment:

Check (drawn on US bank) enclosed in the amont of $ (______) and made payable to University of Houston.

Payment of $ (______) to be drawn from Credit Card Account:

(__) Visa        (__) Mastercard

Card Number:    ________________________            

Exp. Date:          ________________________

Signature:           _________________________

 

e-mail:              __________________________   (to be used to confirm your order)

Date:

Please mail this form with payment  to

Houston Journal of Mathematics,
Department of Mathematics 
651 Phillip G. Hoffman Hall
University of Houston
Houston, Texas 77204-3008

UH security policy requires that all orders have to be received by first-class mail.

 

Important: Offprints can be mailed only if an order has been received before the deadline