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Mailing Label Order Form

Institutions only - approx.  300 names ________

Individuals only - approx.  500 names ________

SEMC Annual Meeting mailing labels - approx.  800 names ________
Final Registrant list: Annual Meeting (available after 11/1/03)

Lists are printed in zip code order on 1" x 2 5/8" three across, self-stick labels. The cost is $0.25 per name. All prices include postage and handling.  Overnight service or express mail will be an additional charge.  Send labels to:

NAME: ___________________________________________________________

INSTITUTION: ______________________________________________________

ADDRESS: ________________________________________________________

CITY/STATE/ZIP: ___________________________________________________

PHONE/FAX: ______________________________________________________

EMAIL: ___________________________________________________________ 

Mail this form with your check made payable to:
SEMC,
P.O.  Box 9003, Atlanta, GA31106-1003 
or charge to your credit card.  ____Visa ____ MasterCard ____ AMEX

Card # __________________________________________________ 

Expiration Date: ________________

Name on Card: ____________________________________________

Questions? Contact SEMC: 404-378-3153, or Direct@SEMCDirect.net