Publications Order Form Please feel free to copy this form.

American Concrete Institute, Member/Customer Services, 38800 Country Club Drive, Farmington Hills, MI
48333, USA

Order Code WEB

Title

Quantity

Price

Sub Total

Total

NON MEMBERS: Check here for membership information

Date

Shipping/Handling charges see below

Name

Canadian residents add 5% GST

(126213149RT)

Michigan residents add 6% sales tax

Title
Company
Address

(U.S. Funds) TOTAL

City
Zip/Postal Code

State/Province
Country

Email

Phone
Fax

Member Reference Number Required for Member Rate

Charge to my ACI account (Members Only)

Orders from nonmembers (except government agencies within the United

States) must be accompanied by full payment or charged to Visa ,
MasterCard, or American Express

Check enclosed #

For faster service order by phone or FAX!

Charge Visa MC AMEX

Phone: (248) 848-3800

FAX: (248) 848-3801

ACCOUNT NUMBER

EXP. DATE

SIGNATURE

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The following shipping & handling charges apply to all orders:

Order Amount
up to:
Less than $25
$25 49.99
$50 99.99
$100 149.99
$150 199.99
$200 249.99
$250 349.99
$350 699.99
$700 1500

THE FOLLOWING SHIPPING & HANDLING CHARGES APPLY TO ALL ORDERS:

U.S Media Mail
U.S. Standard
Canada & Foreign
CD,USB, or Videotape ONLY
(3-4 wks)
(7-10 bus. days)
Airmail
orders
$8.00
$9.00
27%
Per Item
$9.00
$11.00
27%
U.S. Standard = $9.00
$11.00
$13.00
27%
Canada/Mexico Air = $10.00
******
15%
27%
All others Intl. Air = $15.00
Must
12%
27%
Ship
11%
27%
PLEASE CALL ACI MEMBER
U.S.
10%
27%
SERVICES FOR EXPEDITED
Standard
9%
27%
DELIVERY RATES
******
8%
27%
248.848.3800