Please indicate the quantity of each MRC merchandise item, book, newsletter or special report desired.  To make the process easy and convenient MRC offers three choices for sending this order sheet to our office.  You can:

Call:
Kevin Eder, Marketing Analytics Coordinator
1-800-672-1423 ext. 122
keder@mediaresearch.org

Fax:
Print and complete this order form and fax it to Kevin Eder at (703) 683-9736
(Please complete the entire form including name, shipping address, contact phone number & VISA or MasterCard number and expiration date)

Mail:
Print and complete the entire form including name, shipping address, contact phone number & VISA or MasterCard number and expiration date (please make checks payable to Media Research Center) and mail it to:

Media Research Center
c/o Publications Department
325 S. Patrick Street
Alexandria, VA  22314

Required Information

Name: ______________________________________________________________________________

Address: ____________________________________________________________________________

 ____________________________________________________________________________________

City: _______________________________  State: _____________  Zip: _____________________

Home Phone: _____________________________  Work Phone: ____________________________

E-mail: ___________________________________________________________________________

Please check method of payment: VISA ______  MASTERCARD ______  Personal Check ________

Card Number: ________________________________________  Exp. Date: _________________