PUBLICATION ORDER FORM

To request a copy please fill out the following form as ompletely as possible. Then click the "Print Request Form" button at the bottom of this page and mail this form along with full payment to the address below.

Pub # Publication title Price Quantity Total
Shipping and Handling Fees(nonrefundable)
$10.00 or less...............$3.00 $80.01 - $100.00..............$8.00
$10.01 - $20.00............$4.00 more than $100.00.....................10% of total order
$20.01 - $40.00............$5.00 Orders from Canada and Mexico, add 15%
$40.01 - $60.00............$6.00 Orders from all other countries, add 30%
$60.01 - $80.00............$7.00
Subtotal
Shipping
Sales Tax*
Amount Due
*Wyoming residents add 6% sales tax. Tax exempt organizations must send "proof of exemption" with order.
SHIPPING & BILLING INFORMATION
Name   ________________________ Address   ________________________
Company   ________________________ City   ________________________
Phone   (       )          State   ________________________
Fax   (       ) Zip   ________________________
Payment Information
Payment can be made by credit card (MasterCard or Visa only), check, money order, or cash.
Please complete this form and send it with full payment to:
University of Wyoming
Ag Resource Center
Department 3313
1000 E. University Ave.
Laramie, WY 82072
Credit Card Information

If you wish to pay for your order with a Visa or MasterCard, please complete all of the information below and sign your name.
Please print card information clearly.

Name (as shown on card): ______________________________________
Card Number: ______-______-______-______ Expires: ___/_____ (example 06/11)
Signature:________________________________________