Order Form

To purchase U.S. ACCREDITATION AND THE FUTURE OF
QUALITY ASSURANCE, please print and fill out this form and:

(1) Mail with check or money order or
(2) Complete credit card payment information below and mail/fax to:

CHEA Publications
One Dupont Circle NW
Suite 510
Washington, DC 20036-1135
Fax: 202.955.6129

All remittance must be in U.S. funds.
Make your check or money order payable to CHEA.

For purchase orders ONLY: Please fax this form along with your purchase order to 202.955.6129.
We will send you an invoice. Payment is required prior to shipping.

Cost

Single Copy
CHEA Member Institutions, CHEA-recognized Accreditors and Supporting Organizations	$24.95
Non-Member Institutions and All Others	$29.95

Two or More Copies	$24.95 each

Shipping and Handling
Domestic	$5.95
International	$16.95

Total Number Ordered:	___________
Total Payment:	___________
Purchase Order Number:	___________

Credit Card Payment

Type of Card: ____________________ (American Express, MasterCard and Visa Only)

Cardholder’s Name: ___________________________________ Zip Code ______________

Card Number: ________________________________________ Exp. Date______________

Security Code: ______ (three digit code on back of VISA, Mastercard or Discover. Four digit code on front of AMEX card.)

Shipping Information

Name:	______________________________________________________________
Institution:	______________________________________________________________
Address:	______________________________________________________________

City/State: _______________________	Zip:	___________________________
Tel: ____________________________	Email:	___________________________


		One Dupont Circle NW • Suite 510 Washington DC 20036-1135 (tel) 202-955-6126 (fax) 202-955-6129 chea@chea.org Last Modified: 10/19/2010
©2012 Council for Higher Education Accreditation. All rights reserved.