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Publication Order Form

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  2. Direct inquiries to Suzanne Allen 609-695-3481, ext. 129.
    To place an order:
    1. For each publication, specify the number that you would like to purchase for each entry.
    2. Complete the “Mail to Address” portion of this form (include all pages with your order).
    3. Sned this form with purchase order or check (or by cash, via hand delivery with form):
    By email: sallen@njslom.org
    By fax: 609-695-0151
    By mail:
    222 W State Street
    Trenton, NJ 08608
    Orders will not be processed without a Purchase Order.
  4. Members: $20
    Non-Members: $30
  5. Members: $30 Printed, $49 Electronic (PDF)
    Non-Members: $45 Printed, $59 Electronic (PDF)
  7. Members: $20
    Non-Members: $30
  8. Members: $25
    Non-Members: $30
  10. Members: $10
    Non-Members: $10
  11. Members: $60
    Non-Members: $120
  13. Members: $60
    Non-Members: $120
  14. Members: $12
    Non-Members: $14
  16. Members: $12
    Non-Members: $12
  17. Members: $15
    Non-Members: $18
  19. Members: $12
    Non-Members: $14
  20. Members: $12
    Non-Members: $12
  22. Members: $12
    Non-Members: $12
  23. Members: $12
    Non-Members: $14
  25. Members: Full Service $305
    Non-Members: $500
  26. Members: Police Only $265
    Non-Members: $400
  28. Members: Fire Only $240
    Non-Members: $340
  29. Members: $90 Electronic
    Non-Members: $180 Electronic
  31. Members: $12
    Non-Members: $14
  32. Members: $50 Electronic
    Non-Members: $65 Electronic
  34. Members: $30 Electronic
    Non-Members: $39 Electronic
  35. Members: $40 Electronic
    Non-Members: $52 Electronic
  37. Members: $100 Electronic
    Non-Members: $136 Electronic
  38. Members: $40 Electronic
    Non-Members: $55 Electronic
  40. Members: $50 Excel File
    Non-Members: $100 Excel File
  41. Members: $6
    Non-Members: $10
  43. Members: $28
    Non-Members: $30
  44. Members: $28
    Non-Members: $60
  46. Members: Printed $35, Digital $20
    Non-Members: Printed $40, Digital $20
  47. Members: $13
    Non-Members: $15
  49. Members: $40
    Non-Members: $45
  50. Members: $7
    Non-Member: $12
  52. All Prices Include Shipping and Handling
  56. Mail to Address:
  73. Vendor Claimant's Certification and Declaration
    I do solemnly declare and certify under the penalties of the Law that the bill / invoice statement is correct in all its particulars; that the materials have been furnished or services rendered as stated herein; that no bonus have been given or received by any person or persons within the knowledge of this claimant in connection with above claim; that the amount therein stated is justly due and owing; and that the amount charged is a reasonable one.
  75. Date: 1/1/2018
  76. Federal ID Number: 21-60000935
  77. Signature:
  78. Official Position: Executive Director
  82. Certification by Receiving Agency
    I, having knowledge of the facts, certify and declare that the materials have been received or the services rendered and are in compliance with the specifications or other requirements, and said certification is based on signed delivery slips or other reasonable procedures, or verifiable information.
  84. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  93. Certification by Approval Official
    I certify and declare that this bill / invoice statement is correct, and that sufficient funds are available to satisfy this claim. The payment shall be chargeable to:
  98. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  103. Serving Municipal Government in New Jersy Since 1915
    104. Leave This Blank:

  106. This field is not part of the form submission.