TLT/FlashlightTM
 FTE up to 5,000

Special
Subscription Order Form for
HBCU FDN Institutions

TLT/FlashlightTM FTE up to 5,000- Subscription Rates (Valid from Feb. 17, 2004)
Type of TLTG Subscription Basic Collection Subscription Comprehensive Collection Subscription Network Subscription
Annual Rate for New Subscribers US$855 US$2039 US$4109
Rate for institutions with previous subscriptions US$549 US$1796 US$3798


Name of Organization:

Primary Contact (this person receives updates when TLT adds a new free product or upgrade to your subscription):

Name: Address: Phone:
  Fax:    
Title:   Email: 
 
Secondary Contact (this person also receives updates when TLT adds a new free product or upgrade to your subscription):
Name: Address: Phone:
  Fax:    
Title:   Email: 
 
Flashlight Online Administrator#1 (for Comprehensive Collection and Network subscribers only). 
FLO Administrators will create online accounts and user groups for Flashlight Online authors on your campus.  If the liaisons above are also serving as FLO administrators, simply put the person’s name below and “same as above” in the other fields.
 
Name:   Phone:
    Fax:    
Title:   Email: 
     
Flashlight Online administrator#2 (optional): 
Name:   Phone:
    Fax:    
Title:   Email: 

What is the month in which your fiscal year begins?

Do You Have Questions?
If you have questions regarding filling out this form, please call (512) 428-1043 or email Flashorder@tltgroup.org.

Click here TLT/FlashlightTM Subscription - Please choose which rate applies to your institution
US$950 New Basic Subscription
US$610 Renewed Basic Subscription
US$2265 New Comprehensive Subscription
US$1995 Renewed Comprehensive Subscription
US$4565 New Network Subscription
US$4220 Renewed Network Subscription
To purchase additional services :

Network subscribers are eligible for reduced rates for additional days of consulting, external evaluation or other help.  All subscribers are welcome to purchase additional hours of consulting on a range of topics.  To purchase additional services, please contact Sally Gilbert at 301-270-8312 or <sallygilbert@tltgroup.org>  to discuss fees and topics.
TOTAL PAYMENT DUE: US$
 

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Method of Payment

Credit Card		 VISA MasterCard American Express
Card#
Expiration Date mo. yr. *2-digit month, 4-digit year
Cardholder Name
Cardholder Address street
street2
city                                    state    zip
     

Check
Payment is required within 30 days of the shipping date.
Make checks payable to:
TLT Group, Inc.
Attn: Accounting
One Columbia Avenue
Takoma Park, MD 20912

Purchase Order
Purchase Order #
Account Name

Submitting Your Order
Click the "submit" button below.  A confirmation page will appear in your browser which you can print for your records.