Delivery Information:
Recipient's Full Name:
Institution (if necessary):
Street Address or P.O. Box Line I:
Street Address or P.O. Box Line II (optional):
City: State/Province: ZIP Code:
Country (if outside the U.S.A.):
E-mail:

Billing Information:
Billing Address is the same as Delivery Address: Yes     No
Note: If No, please enter Billing Information below:

Billing Recipient's Full Name:
Billing Institution (If Necessary):
Billing Street Address or P.O. Box Line I:
Billing Street Address or P.O. Box Line II:
Billing City:
Billing State/Province: ZIP/Postal Code:
Billing Country (if outside the U.S.A.):

Subscription Information:
This order is a: New Subscription     Renewal Subscription
New subscriptions begin with the current issue; adjustable to current volume upon request.

Subscription Category and Rate (all rates in U.S. dollars):

Supporting Member (recommended): Print subscription + full member access
U.S., $99     Canada / Mexico, $119     All other locations, $139

Standard Member: Print subscription
U.S., $75     Canada / Mexico, $95     All other locations, $115

Sustaining Member: Full member access + additional support
U.S., $150     Canada / Mexico, $175     All other locations, $195

Student/Retiree: Print subscription with discounted membership
U.S., $45     Canada / Mexico, $55     All other locations, $65

Institutional: Print subscription for libraries and departments
U.S., $120     Canada / Mexico, $140     All other locations, $160

Digital: Digital-only subscription, with newsletters + seminars
U.S., $29     Canada / Mexico, $29     All other locations, $29

Method of Payment:
Check / Money Order, payable to The Society for History Education, Inc. Send to:
          The History Teacher
          Society for History Education
          CSULB - 1250 Bellflower Blvd.
          Long Beach, CA 90840-1601 U.S.A.

Purchase Order / Request Invoicing
         Purchase Order Number:

Credit/Debit Card
         Cardholder's Name: ___________________________________
         Card No. : __________________________________________
         Expiration: _____________   Security Code: ________________