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Association for the Advancement of Automotive Medicine Abbreviated Injury Scale (AIS)Dictionary Order Form - Checks Only Please read this form in its entirety, complete ALL SECTIONS of the order form below, and print legibly. Incomplete forms will not be processed. Payment is required to confirm and process the order. Payment information: By Check: If you are paying by company check, scan this form and email it to [email protected] or fax it to (312) 644-8557. You will receive an invoice for the order. Pay the invoice with a check in US Dollars drawn on a US bank. (AAAM also accepts wire transfers--send email to [email protected] for more details.) AAAM cannot ship to PO Box addresses. Please provide a valid physical shipping address. Shipping address AAAM 35 E Wacker Dr. Suite 850 Chicago, IL 60601-2106 T: (847) 844-3880 F: (312) 644- 8557 Email: [email protected] First/Given Name Address 1 City Address 2 ST or Prov Address 3 Last/Family Name Telephone Email Postal Code Organization/Company Name Country Abbreviated Injury Scale Dictionary 2005 - Update 2008 - Book Abbreviated Injury Scale Dictionary 2005 - Update 2008 - Book in Spanish Abbreviated Injury Scale Dictionary 2015 - Book Non-Member $225 - Member $180 AAAM DOES NOT ISSUE REFUNDS OR RETURNS, ALL SALES ARE FINAL qnty qnty qnty

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  • Association for the Advancement of Automotive MedicineAbbreviated Injury Scale (AIS)Dictionary Order Form - Checks OnlyPlease read this form in its entirety, complete ALL SECTIONS of the order formbelow, and print legibly. Incomplete forms will not be processed.

    Payment is required to confirm and process the order. Payment information:By Check: If you are paying by company check, scan this form and email it to [email protected] or fax it to (312) 644-8557. You willreceive an invoice for the order. Pay the invoice with a check in US Dollars drawn on a US bank. (AAAM also accepts wiretransfers--send email to [email protected] for more details.)

    AAAM cannot ship to PO Box addresses. Please provide a valid physical shipping address.

    Shipping address

    AAAM35 E Wacker Dr. Suite 850Chicago, IL 60601-2106T: (847) 844-3880F: (312) 644- 8557Email: [email protected]

    First/Given Name

    Address 1

    City

    Address 2

    ST or Prov

    Address 3

    Last/Family Name

    Telephone

    Email

    Postal Code

    Organization/Company Name

    Country

    Abbreviated Injury Scale Dictionary 2005 - Update 2008 - BookAbbreviated Injury Scale Dictionary 2005 - Update 2008 - Book in Spanish

    Abbreviated Injury Scale Dictionary 2015 - Book

    Non-Member $225 - Member $180

    AAAM DOES NOT ISSUE REFUNDS OR RETURNS, ALL SALES ARE FINAL

    qntyqnty

    qnty

    Robert Bergquist

    D:20160519153727- 05'00'

    D:20160519153727- 05'00'

    Association for the Advancement of Automotive Medicine

    Abbreviated Injury Scale (AIS)Dictionary Order Form - Checks Only

    Please read this form in its entirety, complete ALL SECTIONS of the order form

    below, and print legibly. Incomplete forms will not be processed.

    Payment is required to confirm and process the order.  Payment information: 

    By Check:  If you are paying by company check, scan this form and email it to [email protected] or fax it to (312) 644-8557. You will receive an invoice for the order. Pay the invoice with a check in US Dollars drawn on a US bank. (AAAM also accepts wire transfers--send email to [email protected] for more details.)

    AAAM cannot ship to PO Box addresses. Please provide a valid physical shipping address.

    Shipping address

    AAAM

    35 E Wacker Dr. Suite 850

    Chicago, IL 60601-2106

    T: (847) 844-3880

    F: (312) 644- 8557

    Email: [email protected]

    ..\..\_Design\Branding\New_Logos-2016\AAAM_Logo_CMYK_2016.bmp

    Abbreviated Injury Scale Dictionary 2005 - Update 2008 - Book

    Abbreviated Injury Scale Dictionary 2005 - Update 2008 - Book in Spanish

     

    Abbreviated Injury Scale Dictionary 2015 - Book

     

     

    Non-Member $225 - Member $180

    AAAM DOES NOT ISSUE REFUNDS OR RETURNS, ALL SALES ARE FINAL

     

    qnty

    qnty

    qnty

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