DrugCards Form


International Society of Pharmacoeconomics and Outcomes Research STUDENT CHAPTER

PHARMACY DRUG CARDS
ONLINE ORDER FORM

   Pharmacy Drug Cards, 22nd Edition
   ISBN 1-880579-51-0

   Each loose-leaf set set includes over 300 cards, including
   the top 200 drugs in the US. You will receive a loose-leaf
   set which comes in a convenient 4-ring binder.

    Also included:

Pocket index guide w/ complete
cross reference lists
The top 200 drugs in the U.S.
Latin abbreviations
Common weights and measures
DEA schedules
Pregnancy Categories
Consulting tips and more...

2006-2007 Pharmacy Drug Cards

      UTISPOR Price:   $42.95 (Price includes Shipping & Handling)

             ORDER YOUR CARDS FROM UT-ISPOR!

   Payment Method Available

   Check/Money Orders       - Drug Cards are shipped upon receipt of payment.
                                                        (Note: usually shipped in 2-3 weeks)

Payment Method Check/Money Orders Drug Cards are shipped upon receipt of check or money order payment. Complete Steps 1 - 3 to order your drug cards (Shipping usually takes 2-3 weeks from time of order)
Step 1: Number of Drug Cards (Select the number of cards)
Number of Cards:

Step 2: Your Info Please complete information *Indicates Required Fields
*First Name:
*Last Name:
*Address 1:
Address 2:
*City:
*State/Province:
*Zip Code:
Country:
*Phone:	( example: 512-555-1212)
*E-Mail:
Undergrad Status:

Step 3: Delivery & Payment
(Select your registration type)

              You may make arrangements to stop by to pick-up your drug cards at our office in the pharmacy
              building, room 2.212 or you can mail in your payment to our office. Once we have confirmed/received
              your payment we will mail your drug cards via UPS. (Allow 1- 2 weeks for delivery)

Delivery/Payment
Method

(Shipping and handling included)

Please make checks payable to: UT-ISPOR

Mail your check payment to:

                                       ATTN: Teresa Mann
                                       UT-ISPOR
                                       The University of Texas at Austin
                                       Pharmacy Administration
                                       Campus Mail code: A1930
                                       Austin, TX 78712-0127

             Additional Comments
             
                     Enter Text Here

                                                 Questions regarding Drug Cards should be emailed to UT-ISPOR
                                                        President, Teresa Mann tmann@mail.utexas.edu

                                                                              Mailing Address
                                                                   ATTN: UT-ISPOR- Student Chapter
                                                                    The University of Texas at Austin
                                                                          Pharmacy Administration
                                                                         Campus Mail code: A1930
                                                                                Austin, TX 78712

                                                                            Phone: 512-471-5605
                                                                              Fax: 512-471-6892

                                                   The University of Texas at Austin
                          ISPOR
                                                  Student Chapter

Go to UTISPOR Homepage