Ordering Information

To order a copy of the Surgeon General's Report on Physical Activity and Health, print this page, fill out the form, and mail, phone, or fax it using the contact information located at the bottom of this page.

Superintendent of Documents Publications Order Form

Order Processing Code : *7864

Yes, please send me ______ copies of the 1996 Surgeon General's Report on Physical Activity and Health (S/N 017-023-00196-5) at $22.00 domestic ($27.50 foreign) each.

The total cost of my order is $___________.
Price includes regular shipping and handling and is subject to change.
 

Please type or print

Personal name :

___________________________________________________

Company name :

___________________________________________________

Street address :

____________________________________________________

____________________________________________________

City, state, ZIP Code + 4 :

____________________________________________________

E-mail address :

_____________________________________

Daytime phone including area code :

_____________________________________

Purchase order number :

_____________________________________

Please indicate method of payment

___ Check payable to the Superintendent of Documents (mail orders only)

___ GPO Deposit Account : ______________-_____

___ VISA, MasterCard, or Discover/Novus

   Account Number : ________________________________________

   Expiration Date : _____/______

Authorizing Signature :

____________________________________________

11/99

Thank you for your order!

Contact Information

Fax to : (202)512-2250

Phone orders to : 202-512-1800 (7:30am-4:30pm ET)

Mail to : Superintendent of Documents, P.O. Box 371954, Pittsburgh, PA 15250-7954