Reprint Order Form

Publication Page Charge and Reprint Section
American Institute of Physics
Suite 1NO1
2 Huntington Quadrangle
Melville, NY 11747-4502

Name ________________________________________________________

Street Address __________________________________________________

City, State, Country ______________________________________________

Please ship the following reprints and/or supplements:

Reprint No. __________ ,___________ copies $________

Reprint No. __________ ,___________ copies $________

Reprint No. __________ ,___________ copies $________

Supplement No. __________ ,___________ copies $________
Index (1929-55) _________ copies $_________
Index (1956-73) _________ copies $_________
Index (1974-81) _________ copies $_________
Index (1982-89) _________ copies $_________

Form of Payment: ____Check ____Money Order ____Credit Card ___Visa ___Mastercard

Credit Card Number: _ _ _ _ | _ _ _ _ | _ _ _ _ | _ _ _ _ |

Exp. Date: _ _ Mo./ _ _ Yr.

Signature: _____________________________________________