ATE Impacts Book Request

If you would like to request copies of the latest ATE Impacts printed book, please indicate how many copies and your mailing address in the appropriate box below.

ATE Project / ATE Center / Organization		(If applicable.)
ATE Grant Number		(If applicable. Optional, but very helpful.)
Name/Attn		Your name.
Street Address		Where to send the books. (No PO boxes; UPS cannot deliver to them.)
Address Line Two		(unit, room, etc; if applicable)
City
State
ZIP Code
Phone Number		A phone number where you can be reached. (Optional, but very helpful in case of shipping issues.)
Email Address		An email address where you can be reached.
Copies Requested		(There are approximately 22 books to a box)
Anti-Bot Measure	Type the text:

User name:
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