ORDER FORM
THE LANG REPORTĀ®
(Now a weekly report, emailed each Thursday morning)
Print this Order Form and Mail or Fax to:
Lang Marketing · P.O. BOX 280 · Roanoke, IN 46783
FAX (201) 652-5324
Prepaid Annual Subscription $360.00 (U.S. Dollars)
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Credit Card No.____________________________ Expiration Date (month)______(year)_____
Name on Card __________________________________________Signature___________________________
SHIPPING INFORMATION
NAME ________________________________________TITLE__________________________
COMPANY ___________________________________________________________________
ADDRESS ____________________________________________________________________
CITY __________________________________STATE __________ ZIP__________________
TELEPHONE ___________FAX__________________EMAIL__________________________
Lang Marketing reserves the right to prohibit the sale of its copyrighted reports to resellers and certain other users.
PHONE (201) 652-5220 · FAX (201) 652-5324 · E-MAIL OrderDesk@langmarketing.com