American Expat Directory-Order Form

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

How to use this Form:

u Use one Form per ORDER.

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

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

u Preferred payment: Check drawn on an American bank, or electronic transfer of funds

u 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 April 29, 2005.

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 92609-0748, USA

E-mail

Click Back To Home Page

u		Use one Form per ORDER.
u		Type in the Form, on screen response, (fill out applicable blanks).
u		Press "TAB" to move between blank spaces. When finished, please print the Form.
u		Preferred payment: Check drawn on an American bank, or electronic transfer of funds
u		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.