Classification Society of North America / ORDER Form
The following items from IFCS2004/Chicago, the 2004 Biennial Meeting of the International Federation of Classification Societies, are still available, in limited quantities:

• Proceedings Volume from IFCS2004/Chicago at $50 for processing, shipping and handling
  
• The bibliographic CD, also containing out-of-print books by Hartigan, Bock, Jain and Dubes, and van Rijsbergen, at a price of $11.

                  ------------------------------- Please complete the information below -------------------------------

Proceedings of IFCS2004/Chicago
at $50 US per copy, for processing, shipping & handling: ____ copies @ $50 US = _______

Classification Literature Automated Search Service CD at $11 per CD: ____ CDs @ $11 US = _______

TOTAL ________

MAILING ADDRESS (Please PRINT, at most 30 characters per line.)

Name
__  __ __  __ __  __ __  __ __  __ __  __ __  __ __  __ __  __ __  __ __  __ __  __ __  __ __  __ __  __
Address line 1
__  __ __  __ __  __ __  __ __  __ __  __ __  __ __  __ __  __ __  __ __  __ __  __ __  __ __  __ __  __
Address line 2
__  __ __  __ __  __ __  __ __  __ __  __ __  __ __  __ __  __ __  __ __  __ __  __ __  __ __  __ __  __

__  __ __  __ __  __ __  __ __  __ __  __ __  __ __  __ __    __  __ __  __ __  __ __  __ __
        City                                   State/Province                   Postal Code

Country: _________________                              If change of  address,  check here:  _____

E-mail address(es): _______________________________     If change of e-mail address,  check here: ______

If a directory is published, would you like to be listed?  Yes _____     No  _____

Total amount of dues enclosed:  $ _________  For year(s): ________

I enclose a check (in U.S. currency only, drawn on U.S. bank),
payable to the Classification Society of North America: ___

I am paying with a charge card: VISA: _____ MasterCard: _____
For charge card payments only:
Card Number: ___ ___ ___ ___ -  ___ ___ ___ ___  -  ___ ___ ___ ___  -  ___ ___ ___ ___  

Expiration date (mm/yy)  __ __ / __ __  Authorization Signature: _______________________________

Please send by regular mail to:

CSNA Business Office	Email:  slsclove at uic.edu
Prof. Stanley L. Sclove	Fax:    312-413-0385
IDS Dept.  (MC 294)	Voice:  312-996-2681
University of Illinois at Chicago	Sec'y:  312-996-2676
601 South Morgan Street
Chicago, IL 60607-7124, USA

Note: Due to the lack of security, we do not recommend sending credit card numbers via email.
Please print and mail with check (in U.S. currency only, drawn on U.S. bank), or send via fax.
However, for your convenience, email sent at your own risk will be accepted.