Please complete this form, print it out and fax it to:CTIR Publications (Fed ID 84-0404231)

Phone: 303-871-2697, Email: pubsinfo@du.edu, Fax: 303-871-2456.

You can also mail it to:


CTIR Publications
2201 S. Gaylord St.
Denver, CO, 80208

RETURNING CUSTOMERS! Please click here to complete a quick survey!

ORDER FORM DATE:  
Invoice to:
Name: 
Address: 
City, State:      Zip: 

Phone #:        Fax #:        E-mail: 

Ship Order to:
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Address: 
City, State:      Zip: 
Quantity
 Title
Total Price

Subtotal: 

Shipping & Handling - 8% of Subtotal ($5 minimum):

                              Total:


If you need to order more than four titles, print first order, click "RESET",
and fill additional forms.

AFTER printing, please fill in the following fields before faxing to 303-871-2456:

Credit Card Type: Visa MasterCard Discover   PO#(optional)

Credit Card #:         Exp. Date: