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FINRA Bookstore Order Form

Please print out this form, neatly write in your order, and mail or fax the completed form to:

FINRA MediaSource
P.O. Box 9403
Gaithersburg, MD 20898-9403
Phone: (240) 386-4200
Fax:     (240) 386-4838

Title Price * Quantity Total
       
       
       
Subtotal  
PROCESSING FEE ** - The processing fee does not include overnight delivery or international delivery fees.
Subtotal Processing Fee
Under $5.00 $0.00
$5.01 to $20.00 $4.95
$20.01 to $40.00 $8.50
$40.01 to $100.00 $10.50
$100.01 to $400.00 $17.00
$400.01 and up Please call for price:
(240) 386-4200


Processing Fee  
OVERNIGHT DELIVERY FEE
FINRA provides overnight delivery; please call MediaSource at (240) 386-4200 to determine the charges. If you prefer to use your own Federal Express or UPS account, please provide your account number: ___________________________
Overnight Delivery Fee  
INTERNATIONAL DELIVERY FEE
FINRA provides international delivery; please call MediaSource at (240) 386-4200 to determine the charges
International Delivery Fee  
TOTAL  

Payment Information
Orders must be prepaid by check, money order or credit card. (Please make checks payable to FINRA.)

PLEASE BE AWARE - THERE ARE NO REFUNDS

Check Box My check/money order is enclosed. Check Box Please charge my credit card:
Check BoxAmerican Express
Check BoxVisa
Check BoxMasterCard
Account #: Exp. Date:
Cardholder's Name:
Cardholder's Billing Address:
Cardholder's Signature (required):
Cardholder's Phone:

To expedite your credit card order, call FINRA MediaSource at (240) 386-4200.

Shipping Information
Check Box
Check here if the shipping address is the same as the credit card holder's billing address. If so, there is no need to fill out this section.

Name:
Title:
Firm:
Address:

 

City: State: Zip:
Phone:

* Please note that prices are subject to change without notice.

** Processing fees include tax. Orders are shipped UPS or book rate; please allow three to four weeks for books/brochures/product orders and six to eight weeks for subscription orders.