CA
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVECOVER ARCHIVE SEARCH
 QUICK SEARCH:   [advanced]


     


 

Online Subscription Form

(US individuals only)

Note: Subscription request is for 3 years.

Library, institutional, and international subscriptions must be obtained directly through Lippincott Williams & Wilkins. Please see our subscriptions page for contact information.


(*Indicates required field)

  1. *I would like to:
    Subscribe
    Renew
    Update address (Subscription will automatically be renewed)
    Cancel

    1. If you are a NEW subscriber, how did you hear about CA: A Cancer Journal for Clinicians?

    2.  
    3. If you are RENEWING or UPDATING your information, please provide your subscription ID Number (located above your name on the mailing label). This will help expedite your request.

    4.  
    5. If you are CANCELING your subscription, what is your reason for cancelation?

     
  2. Prefix:

  3.  
  4. *First Name:

  5.  
  6. Middle Name: (If applicable, please include)

  7.  
  8. *Last Name:

  9.  
  10. Degree(s):

  11.  
  12. Suffix: (If applicable, please include)

  13.  
  14. Affiliation: (If applicable, please include your institution or employer)

  15.  
  16. *Address 1: (30 character limit)

  17.  
  18. Address 2:

  19.  
  20. *City:

  21.  
  22. *State:

  23.  
  24. *Zip:

  25.  
  26. *Email: (50 character limit)

  27.  
  28. Telephone (xxx-xxx-xxxx):

  29.  
  30. Fax (xxx-xxx-xxxx):

  31.  
  32. *Are you a PHYSICIAN? (NON-PHYSICIANS, please go to item B.)
    Yes
    No
    1. PHYSICIANS select your specialty.
    2. OR

    3. NON-PHYSICIANS, please select the category of profession that most closely matches your field.

     
  33. *May we contact you in the future about other American Cancer Society professional services?
    Yes
    No

  34.  
  35. * By checking this box, I verify that I am requesting a new subscription, renewing my subscription, updating/changing address, or canceling my subscription to CA: A Cancer Journal for Clinicians. This serves as my electronic signature.

  36.  

Please note: CA subscriptions are valid for US addresses and individuals only. Multiple subscriptions with duplicate address will be removed from our mailing list. International, institutional, and library subscription addresses will also be removed from our mailing list and referred to our publisher.


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVECOVER ARCHIVE SEARCH
Copyright © 2008 by American Cancer Society.