9
AMERICANMEDICALASSOCIATION
CodingResourcesGuide, September 2015
Orderonline24hoursaday:
Can’torderonline?Useoneof theseconvenientoptions.
Call toll-free
(800) 621-8335
AMAmemberscall
(800) 262-3211
Faxorders
(312) 464-5600
Mail orders
OrderDepartment, AmericanMedicalAssociation, P.O. Box930876, Atlanta,GA31193-0876
Ship to:
Name_ ________________________________________________________________________________________________
Organizationname_ _____________________________________________________________________________________
Address (noP.O. Box, please)____________________________City/State/ZIP_ ______________________________________
Phone ( )_ _______________________________________Fax ( )__________________________________________
Email address _ _________________________________________________________________________________________
Subscribe to receive the latest industrynews, exclusiveproduct specials, importantproductupdatesandopportunities to
provideyouropiniononAMAbooksandproductsbyemail.Writeyour email address in the spaceabove. (Your email
addresswill notbe shared, soldor exchanged.)
Methodofpayment:
(checkoneonly)
Visa
MasterCard
AmericanExpress
Check (enclosed)
Purchaseorder (attachedonordersof$600ormore)
Purchaseordersmustbe faxedormailed.
Ifpayingbycredit card, pleasecomplete the following:
Cardnumber
Exp. date (mmyy)
Cardholder signature_____________________________________________________________________________________
Daytimephone ( )____________________________________________________________________________________
AMAmembername______________________________________________________________________________________
AMAMEnumber (onmembershipcard) ordateofbirth_ _______________________________________________________
For faster service,mentionor includeyourpromotioncodewithall orders.Thecodeappearsnear yournameandaddresson theorder formmailing label.
For informationonvolume sales, contactMarkDanielsat (312) 464-5974.
ITEM#
DESCRIPTION
PRICE QTY
AMAMEMBER
PRICE
AMAPHYSICIANMEMBERS
ONLY
TOTAL
PRICE
- FVA
- FVA
- FVA
- FVA
- FVA
Merchandisesubtotal
Shipping&handling
(Seechart at left)
Subtotal
Add tax
(Seechart at left)
Total amountenclosed
ShippingandHandling
$25or less . . . . . . . $5.95
$25.01 to$49.99 . . . . $6.95
$50 to$74.99 . . . . . . $9.95
$75 to$99.99 . . . . . . $11.95
$100 to$149.99 . . . . .$16.95
$150 to$199.99 . . . . .$19.95
More than$200 . . . . . . . . .$23.95
TaxChart
CA . . . . 8.0%
Canada . . 7.0%
CO . . . . 4.0%
DC . . . . 5.75%
GA . . . . . . . . 7.0%
IL . . . . 8.75%
MN . . 6.875%
NJ . . . . 7.0%
NY . . . . 8.25%
PA . . . . 6.0%
WI . . . . 5.5%
Taxesmayvary fromcounty tocounty.
Call (800)621-8335 fornon-continentalU.S.shippingandhandlingrates.
Ifyouoryourorganization isexempt fromsalestaxentirelyor forthisorder,pleaseprovideacopyofyour tax-exemptor resalecertificate.
Provideyourpromotioncode
(foundon themailingpanel)
