Principles and Direction of Air Medical Transport, 2nd Edition ORDER FORM Name: Shipping Address: (sorry, no P.O. Box) Work (preferred) Home City: State: Telephone: Fax: Zip: Email: Printed textbook Electronic copy Printed and electronic copy combination) Quantity order 2-5 copies 5-10 copies > 10 copies Check appropriate category AMPA Non Author, Members Members Contributor $120 $135 $60 (first copy) $120 $135 $180 $195 $90 $100 each $95 each $90 each $115 each $110 each $105 each Quantity Sub-total $80 each $75 each $70 each Textbook sub-total: $15 for the first book Shipping/handling textbook to continental U.S. destinations $5 for each additional book For international shipping, call or email the AMPA office Shipping sub-total: Total: Please make check payable to: Air Medical Physician Association Mail to: AMPA Text, 951 East Montana Vista Lane, Salt Lake City, UT 84124 Or charge the following credit card, VISA or MasterCard only: Exp: Thank you for your order To contact the AMPA office: Voice: 801-263-2672 Fax: 801-534-0434 Email: PPeter1111@aol.com