Single copy: 1 @ $22.00 (includes tax and shipping within NY State) $22.00 Additional copies: @ $19.00 (includes tax and shipping within NY State to same address) . Single copy: 1 @ $21.00 (includes shipping outside NY State) $21.00 Additional copies: @ $18.00 (includes shipping outside NY State to same address) . Add $6.00 for a single book for shipping outside of the U.S. .00 Add $3.00 for each additional book to same address for shipping outside of the U.S. .00 TOTAL: .00 Check Enclosed (made payable to Dr. Raymond J. Noonan): $_______________ Shipping Information: Name ___________________________________________________________________ Address ________________________________________________________________ City _______________________ State _____ Zip _______ Country ___________ Tel. _______________________________ Fax _______________________________ E-mail _________________________________________________________________[ ] Check this box to get periodic news from SexQuest and the Sex Institute by e-mail. Print this page out and mail either form with your check or money order to the address at the top of the form. You will receive confirmation of your order or membership by e-mail.
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Raymond J. Noonan, Ph.D. SexQuest/The Sex Institute P.O. Box 20166 West Village Station New York, NY 10014 Phone: (212) 217-7460 E-mail: rjnoonan@SexQuest.com WWW: http://www.SexQuest.com/ |
Regular adult rate: __ $50.00 Special student rate: __ $40.00 To qualify for the special student rate, include the following information: School: ________________________________________________________________ City, State: ___________________________________________________________ Department _____________________________________________________________ Program ________________________________________________________________ Level of Study (e.g., undergraduate or graduate) _______________________ Expected Year of Graduation ____________________________________________ Check Enclosed (made payable to Dr. Raymond J. Noonan): $_______________ Shipping Information: Name ___________________________________________________________________ Address ________________________________________________________________ City _______________________ State _____ Zip _______ Country ___________ Tel. _______________________________ Fax _______________________________ E-mail _________________________________________________________________[ ] Check this box to get periodic news from SexQuest and the Sex Institute by e-mail.