HSS Book Exhibit Information Request Form

Yes, I would like additional information regarding the 2001 History of Science Society's Annual Meeting Exhibit.

I am particularly interested in: (check all that apply)

  Exhibiting at the Meeting
  Displaying Individual Titles on the Combined Book Tables
  Advertising in the Annual Meeting Program
  Inserting Materials in Registrant's Packets.

Please add my name to your mailing list and send me exhibit materials when they become available.

Contact First Name:    MI   Last Name 

Company Name: 

Address

City   State/Province   Zip/Postal Code   

Country   Telephone   FAX 

E-mail  

Notes and Explanations (as needed)

Click Submit and this form will automatically be sent to the HSS Executive Office.

Thank You!