Order Form
THE DISASTER CENTER BOOKSTORE
A SERVICE OF
THE ROTHSTEIN CATALOG ON
DISASTER RECOVERY
Email to info@rothstein.com, or print and fax to 203.740.7401
ORDERED BY: Name ____________________________
Title _______________________________________
Organization ________________________________
Dept./Mail Station __________________________
Street Address* _____________________________
*(Not Post Office Box!)
City ____________ State ________ Zip ________
Country ___________ Purchase Order # ________
Phone** _________________ Fax _________________
** Required for "RUSH" orders
E-Mail Address: _____________________________
Shipping Address/Instructions (If Different):
_____________________________________________
_____________________________________________
ITEM # / DESCRIPTION / QTY / PRICE / TOTAL /
_______/_____________/_____/_______/_______/
_______/_____________/_____/_______/_______/
_______/_____________/_____/_______/_______/
_______/_____________/_____/_______/_______/
_______/_____________/_____/_______/_______/
_______/_____________/_____/_______/_______/
Subtotal: _________
Handling Charge:
($7. US; $15 Canada;
25% elsewhere-$15.00 minimum): _________
Rush Orders Add 15%
($25. Minimum)**: _________
Connecticut Customers Add
6% Sales Tax: _________
TOTAL: _________
** For RUSH or Foreign orders, shipping/handling are
calculated at the time of shipment, but will not
exceed the amounts shown (and are often lower).
Please contact us for an estimate prior to
ordering. Excess shipping/handling charges
will be credited or refunded.
PAYMENT METHOD:
___ Check or Money Order Enclosed
(Payable to ROTHSTEIN ASSOCIATES INC.,
in U.S. Dollars, drawn on a U.S. Bank)
___ Discover Card ___ American Express
___ MasterCard ___ Visa
NAME ON CARD ______________________________
CARD # ____________________________________
EXP. DATE ________ SIGNATURE ______________
___ Wire Transfer (contact us for details)
Enter your address here for a complimentary
subscription to our newsletter, Business Survival(tm):
Business Continuity for Key Decision-Makers.
Email address: _____________________________
THE DISASTER CENTER BOOKSTORE
A SERVICE OF
THE ROTHSTEIN CATALOG ON DISASTER RECOVERY
Rothstein Associates Inc.
4 Arapaho Road
Brookfield, CT 06804-3104 USA
Fax 203-740-7401
Voice 203-740-7444 or 1-888-ROTHSTEin
E-mail info@rothstein.com