College & University Media Review Subscription Order Form

To subscribe to the College & University Media Review, complete the following and include a check made payable to CCUMC.

Name _________________________________________

Institution/Organization ___________________________

Address _______________________________________

City, State, Zip _________________________________

Phone ________________ Fax ____________________

$75 per year; U.S. and Canada (others, please apply.)

_____ My check for $75 is enclosed (remit in U.S. currency, made payable to CCUMC)

Send this form and your check to:

CCUMC Executive Office
Instructional Technology Center 1200
Communications Building
Iowa State University
Ames, IA 50011-3243

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