Subscription Order Form Cognitive Science Society (CSS) Members by ntz11397


									                   Subscription Order Form
           Cognitive Science Society (CSS) Members
1. Please start my one-year, personal print & online subscription to the following journal(s) at the rate checked below.

                                                            Special CSS Member Rate                                        Non Member Rate
                                                         U.S./Canada             Other Countries                    U.S./Canada              Countries
 Trends in Cognitive Sciences                                  $179                  $179                              $224                    $224
 Trends in Neurosciences                                       $179                  $179                              $224                    $224

 Cell                                                             $155                  $234                             $194                   $293
 Neuron                                                           $155                  $234                             $194                   $293

*Note: CSS Member Number must be provided below in order to get the Special CSS Member Rate. All rates are in U.S. Dollars and include postage. Canadian
subscribers: Add 7% GST (Registration Number 137135919). Please allow 4-6 weeks for processing. This offer is valid for current CSS members only. Subscription term: 12
consecutive issues from the date your order is processed.

2. Complete the information below (All fields required):

    CSS Member Number ____________________________________________________________________________________- D00960

    First Name _______________________________________ Last Name _____________________________________________________

    Job Title ________________________________________________________________________________________________________

    Company/Organization ____________________________________________________________________________________________

    Shipping Address _________________________________________________________________________________________________

    City ______________________________________________ State/Province _________________________________________________

     Zip/Postal Code __________________________Country _________________________________________________________________

    Phone _____________________________________________Fax __________________________________________________________

    E-mail ___________________________________________________________________________________________________________

3. Select Type of Payment:
        Check enclosed (make payable to Cell Press in U.S. Dollars, drawn on a U.S. bank)
        Credit Card: Charge $____________________ USD to my:                     VISA         MasterCard          American Express

         Card Number: _____________________________________________________________________________ Exp Date: __________

         Cardholder’s Signature: _______________________________________________________________________ Date: ____________

         Name on Credit Card (print/type) _________________________________________________________________________________

4. Make a copy of this completed form for your records.

5. FAX this completed form (include credit card information) to: +1-314-523-5170 or MAIL this completed form and payment to:
   Elsevier Inc., Cell Press Societies Subscription Office, 11830 Westline Industrial Drive, St. Louis, MO 63146, USA

Questions? Call Customer Service: +1-866-314-2355 (U.S.); +1-314-453-7038 (Outside U.S.) ● E-mail:

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