Order Form

Claire B. Rubin & Associates
Disaster Research and Consulting
P.O. Box 2208
Arlington, VA 22202
Fed. Tax No. : 54-1242755
Tel: (703) 920-7176

All orders must be prepaid: we accept checks, cash, and money orders. [We cannot take credit cards at this time.] Please make checks payable to Claire B. Rubin

In a rush? We can send copies via FedEx using your account number.
Discount prices: For special rates on bulk orders (25 or more copies), please call or e-mail.

Unit prices shown below include regular shipping (first class mail) and handling charges.

Enclosed is my payment for the following products:

NEWLY- REVISED PRODUCTS:

____ B.C. and Canadian Time Line chart (191702007), version 2 @ $10.

____ Terrorism Time Line chart (1993-2006), Version 6 @ $10.

____ Disaster Time Line chart (1978-2006), Version 4 @$10.

____ Century Time Line (1900-2005), Version 1 @ $10.

NOTE: The new book titled Emergency Management; The American Experience, 1900-2005 is available from the PERI Bookstore at: http://www.riskinstitute.org

TOTAL: _______________

SEND TO:

Name: ____________________________________________________

Address: __________________________________________________

__________________________________________________________

City:______________________ State:_______ Zip Code:____________

Phone: ____________________________________________________

E-mail address: _____________________________________________

Tax Exempt ID # (if any): _____________________________________

Rev. 1/1/08