H A R V A R D   S T R E E T   C O M M U N I C A T I O N S   I N C .

955 Massachusetts Avenue, #208 Cambridge MA 02139 USA

 

PUBLICATION ORDER FORM

To mail, fax or email your order, please print this page and complete all the requested information clearly.

 

Customer Information:

Name:

 

Mailing Address:

 

Level Of Study:                                                                                                                    

Country Of Citizenship:
Email Address:

Product Information:

 

Scholarship Publication                                      Quantity                                           Price

 

Grants & Scholarship Publication 

                                                               ______________                              $10.00 each

 

                                                                                            Sub-total:  ________________

 

Shipping Cost: 

(Add $7 for U.S. addresses or $15 for foreign addresses)         _________________

 

                                                                                                  Total:  _________________
Payment Information:

Money Order or Check    _____________________       Mail to address at bottom of page.

 

                                        _______________________________       ________________

                                       _______________________________        ________________

                                       _______________________________         ________________

Signature:

If paying by check or money order mail to: Harvard Street Communications Inc. 955 Massachusetts Ave, #208 Cambridge MA 02139 USA.

Email:  Harvcom@prodigy.net