Communication Education Resources Index
Order Form
Please PRINT OUT this order form.
Orders can only be accepted by postal mail and accompanied with payment of check or
money order. Thank you!
Please print clearly or type the following information:
Name: ______________________________________ Date:
________________________
Shipping address (the item(s) will be mailed to):
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
_____________________________________________________
Work phone: (______)________________ Home phone:
(______)________________
e-mail address: _______________________________
Total # of copies ______x $2.00 per copy (first class shipping &
handling) =$ ____________
Please mail this completed order form with a check or money order as
payment to:
Linda Rouhani
CERI Order Request
National Communication Association
1765 N Street, NW
Washington, D.C., 20036
Phone: (202) 464-4622
