Gift Subscription for FDA Consumer

Fax: Fill out the form below, print it, and fax to 202-512-2250.

Mail: Fill out the form below, print it, and send to:
Superintendent of Documents, P.O. Box 371954, Pittsburgh, PA 15250-7954

Phone: Call 202-512-1800 between 7:30am to 4:30pm EST to order

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Yes, please send a gift subscription to FDA Consumer (FDAP) @ $14 domestic ($19.60 foreign) per year to the address below. Price includes regular shipping and handling and is subject to change.

TO:

Gift recipient's name:

Street address:

City, State, Zip Code:

FROM:

Billing name:

Street address:

City, State, Zip Code:

Daytime phone (including area code) and e-mail address:

Phone: E-mail:

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Check method of payment:

Check payable to Superintendent of Documents

GPO Deposit Account

GPO Account Number:

VISA(R) MasterCard(R) Discover/Nova(R)

Account number

Expiration date: (mm/yy)

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