You have indicated that you would like to order a conference binder or a CD of the conference presentations. Please Note: If you have registered for the conference, a binder is included with your registration, this order form is for additional binders only.
To Pay by Credit Card: Please fill out the form below and click on the Submit & Proceed with Order button. If you prefer to pay by fax or mail, you can print, complete and fax or mail the printer-friendly order form to the information provided on the form.
To Pay by Check: Please print, complete and mail the printer-friendly order form along with your check to the address provided on the form.
Please Note: Binders and CDs will not be shiped till after the conference to ensure that all information, including on-site changes to presentations, will be included.
Required fields are indicated with red astericks (*). When the form is complete, click on the Submit & Proceed with Order button (if you do not have any information to enter into a required field, just type "N/A").
Should you have any questions regarding your order, please contact
Mike Hess at mike.hess@safetynetrx.org or 202-552-5869.
