Locke Science Book Publications Order Form
with payment by check

Please print this page, fill in the information, and mail it, along with your check, to
Book Publications
c/o Locke Science Publishing Company, Inc.
332 S. Michigan Avenue, Suite 1032 #L221
Chicago, IL 60604-4434, USA


Name:  ________________________________________________________________________________________

Address 1: _____________________________________________________________________________________

Address 2: _____________________________________________________________________________________

City: ____________________________________________State/Province: ____________________________

Zip Code/Postal Code: ___________________Country: ____________________________________________

Phone: _____________________________________Fax: __________________________________________

Email:  ________________________________________________________________________________________


Please check the appropriate box below to indicate your preferred shipping method. Send your invoice, along with your check made out to "Locke Science Pub. Co., Inc." to the address at the top of the form.

Amos Rapoport's Culture, Architecture, and Design:

Media mail shipping to the U.S.
Priority Mail shipping to the U.S.
First-class mail shipping to all other countries
Priority Mail International shipping to all other countries

TOTAL DUE:

Thank you for your order!
Journal of Architectural and Planning Research
Locke Science Publishing Company, Inc.
$45.00

[ ] no additional charge
[ ] +$5.00
[ ] +$13.00
[ ] +$20.00

$_________