Thank you for the new or renewed subscription to NDPLS. You may provide the requested information below by printing this form and mailing it with your payment, submit your subscription request with the alternative web-based form. Either form can be used for print or electronic delivery. The institutional price for 2018 is US$295. The institutional price for the 2018 Ultrapak is US$1,499. If you are requesting both forms of delivery, please add a $30 service charge.
Primary Contact:
(You will be the library representative and contact person)
Your Name (REQUIRED)
E-mail (REQUIRED)
This subscription is for:
(Check one)
Hard Copy, 2018, $295.
Electronic, 2018, $295.
Both Media, 2018, $325.
Ultrapak, 2018, online $1,499.

Name and physical address of requesting library
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Address line 3
City
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Postal code
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Billing Address
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ELECTRONIC SUBSCRIBERS
PLEASE provide your IP number:
(format: 123.45.****.****; the wild card allows access from possible computers routed through your library system.

METHOD OF PAYMENT
Check drawn on US bank payable in USD to SCTPLS. Mail check to address given below.
Credit card online payment
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    Card number spaces okay    Exp. date mmyy
If you have a question, instruction, or additional message to SCTPLS, please write it here:
   

Mail address: SCTPLS, P.O. Box 484, Pewaukee, WI 53072, USA