American Expat Directory-Order Form

Advertisement Order Form
American Expat Directory: Cruises, Tours & General Travel

How to use this Form:

Use one Form per ORDER.

To reduce "Banner", click on its "UPPER" right arrow é then click on "X" to close it.

Type in the Form, on screen response, (fill out applicable blanks).

Press "TAB" to move between blank spaces. When finished, please print the Form.

Preferred payment: Check drawn on an American bank.

Acceptable payment: International Money Order by using your country's currency.
Our bank will send the Money Order back to country of origin for collection. The process usually takes about 3-4 weeks.

Advertisement at American Expat Directory
.
Your Order and Fees: (please type X in appropriate boxes)

CATEGORY	Listing Only	Listing + Description of Services (Up to 50 words)
Travel Agencies CRUISES & TOURS Specialists	$195/Year Special Fee (Reg. Fee: $345/yr)	$245/Year Special Fee (Reg. Fee: $425/yr)

Travel Agents - Air Lines	$170/Year Special Fee (Reg. Fee: $245/yr)	$199/Year Special Fee (Reg. Fee: $275/yr)

Multiple Category Listings: Cruises, Tours and Airlines	$265/Year Special Fee (Reg. Fee: $470/yr)	$295/Year Special Fee (Reg. Fee: $520/yr)

Other Categories: (Resorts, hotels, vacation homes, taxi ...etc.)	$195/Year Special Fee (Reg. Fee: $345/yr)	$245/Year Special Fee (Reg. Fee: $425/yr)

	Other Services - Amount Paid: $
	Description:

BONUS:
I wish to receive the "free" USA orthopedic surgeons’ List on floppy diskette.
I am mailing my check to reach DMS by the deadline June 14, 2003.

TOTAL Fee (selected boxes above):
.
$ (Advertisement) + $ (Other Services) = $

Date. Check Number

ORDER INFORMATION: (Please complete only applicable information)

Name	Title
Company
Address
City
State	Zip Code. Country
Area Code	Telephone number. FAX number
E - Mail Address
Web Site Address

Please Print Completed Form And Mail It With Your Payment To DMS:
Doctors' Marketing Service
P.O. Box 748, Lake Forest, California 92630-0748, USA
(949) 472-3767

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		Use one Form per ORDER.
		To reduce "Banner", click on its "UPPER" right arrow é then click on "X" to close it.
		Type in the Form, on screen response, (fill out applicable blanks).
		Press "TAB" to move between blank spaces. When finished, please print the Form.
		Preferred payment: Check drawn on an American bank.
		Acceptable payment: International Money Order by using your country's currency. Our bank will send the Money Order back to country of origin for collection. The process usually takes about 3-4 weeks.