Reprints Price Quotation Form
American College of Physicians
Journals and Books
Some basic information is needed before the Reprints Office can fax a reprint price quotation to you. Please print, answer the questions that follow and fax to the attention of the Reprints Coordinator c/o fax 215-351-2686.
 
Name
 
Your company, agency, etc.
 
Mailing Address
 
Mailing Address (cont.)
 
  
  
City State Zip
 
  
  
Phone Fax E-mail
 
Tracking or ID number to be included with reprint price quotation (if applicable)
 
Please list client's name if an agency



Type of Request:

Standard order [delivery within 4-5 weeks]
Urgent / Rush order {delivery within 3 weeks or sooner]
Undecided



Quantity or quantities:

_____ or _____ or _____ or _____ or _____

 

Information on the article follows:
 
Lead Author
 
Title

Publication:

ACP Journal Club Annals of Internal Medicine
ACP Observer ACP Hospitalist Effective Clinical Practice
Evidence Based Medicine  

 
 
  
  
Issue date Volume Number
 
Pages

 
(Note: Issue date or volume must be entered to process quotation.)

 

Check off special options (if applicable) that may be included with reprint order:

For articles published with colorwork, please indicate if reprint quotation is to include costs for:

black & white
color
both

Two-color replica journal cover

FDA-related disclaimer; will be provided by customer:

draft copy of text
camera-ready text
film
diskette
other ________________

Other text to be printed

(Note: An advance hard copy version of the text is required for preapproval by journal editor.)

Imprint stock or codeline number

Shrink-wrap or paper-band packaging; bundles of:

200's
100's
50's
25's
10's

Shipping:

Expected delivery deadline date, if known: ________________

Delivery destination zip code(s) or countries, if available: _____ and _____ and _____

Split shipments:

2
3
4

Specific shipping instructions to follow if order is placed (e.g. preferred carrier, customs broker, third party billing, etc.):

Comments or Questions:

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