![]() ANSI/NISO Z39.43-1993 | STANDARD ADDRESS NUMBER--UNITED STATES AGENCY International Standard Numbering System for the Information Industry 630 Central Avenue, New Providence, New Jersey 07974 Email: isbn-san@bowker.com FAX: 908-219-0188 |
| R.R. Bowker LLC, a Cambridge Information Group company |
Please assign a SAN to the following address:
ORGANIZATION NAME: ____________________________________________________________
ADDRESS: _________________________________________________________________
________________________________________________________________________________
CITY: ____________________ STATE: ___________
COUNTRY: ___________________ ZIP: ______________________
PHONE NUMBER: _____________________ FAX NUMBER: _____________________________
E-MAIL: ______________________ WEB SITE: ____________________________________
FAX-ON-DEMAND: _______________ TOLL-FREE FAX: _______________________________
CONTACT NAME: _________________________________________________________________
TITLE:__________________________________________________________________________
TYPE OF BUSINESS: (Please check one)
____________ Compositor/Pre-Press ____________ Printer/Bindery
____________ Component Printer ____________ Paper Vendor
____________ Cloth Vendor ____________ Cover Component
Vendor
____________ Other, Please clarify: ____________________________________________
_________________________________________________________________________________
PAYMENT: When submitting this print application, a $20 surcharge will be added to the total fee.
Please note that there is no surcharge if you choose to submit your application electronically.
If you wish to submit an electronic application, please go to www.isbn.org, and select the secure server.
A Non-Refundable One Time Service Charge of $150 Per SAN For Each Assignment
Express Processing Surcharge Per SAN $75
Priority Processing Surcharge Per SAN $25
(Service charge fees are subject to change)
__ Check/Money Order enclosed. Make payable to "R. R. Bowker."
__ Charge: ____ American Express ____ Visa ____ Master Card ____ Discover
Card Holder Name: ______________________________________________________________
Account #: __________________________ Expiration Date: __________________
Manual Processing Fee: $20.00
SAN Service Charge: $150.00
Express Processing Surcharge $________________
Priority Processing Surcharge $________________
Total amount enclosed or charged:$________________
* Note: Bowker does not charge Sales Tax
Our Company hereby applies to the ISBN/SAN U.S. Agency for a SAN Assignment
Authorized signature: __________________________________________________________
Title: _________________________________________ Date: ___________________
Processing Information:
Your application for a SAN Assignment will be processed ONLY if you include the following:
1. Completed application
2. Payment
Processing time for a SAN application is 15 full business days from the date
of receipt (provided there are no problems with the application).
Express Processing:
Express processing includes a return within 24 business hours by e-mail ONLY
(providing there are no problems with the application).
Express service applicants MUST provide an e-mail for delivery of SAN.
Contact e-mail: _________________________________________________________
Priority Processing:
Priority processing includes a return within 72 business hours of receipt
(provided there are no problems with the application).
________________________________________________________________________________
NAME: ________________________________________________
ADDRESS: ________________________________________________
________________________________________________
[ ] Ship to [ ] Bill to [ ] Warehouse [ ] Returns
[ ] Other (Specify): ___________________________________
SAN: ________________________________________________
________________________________________________________________________________
________________________________________________________________________________
NAME: ________________________________________________
ADDRESS: ________________________________________________
________________________________________________
[ ] Ship to [ ] Bill to [ ] Warehouse [ ] Returns
[ ] Other (Specify): ___________________________________
SAN: ________________________________________________
________________________________________________________________________________
________________________________________________________________________________
NAME: ________________________________________________
ADDRESS: ________________________________________________
________________________________________________
[ ] Ship to [ ] Bill to [ ] Warehouse [ ] Returns
[ ] Other (Specify): ___________________________________
SAN: ________________________________________________
________________________________________________________________________________