Use this form to order AEQ challenge coin
One FREE coin per published article - recipient is the first author.
Offer good while supplies last. One coin per article.
AUTHOR’S NAME ___________________________ SUBMISSION NUMBER _____
ARTICLE TITLE _______________________________________________________
PUBLISHED IN VOLUME/ISSUE ________________ SUBMISSION KEYWORD* ______________________
Your submission, has KEYWORD from Ongoing Submission-topics,
KEYWORD ends on asterisk (*) e.g. SERVICE* in entry #5103-2l Fall 2012 issue
PRINT or WRITE LEGIBLY your shipping name and address. ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ONE MORE TIME – this is your shipping label PRINT or WRITE LEGIBLY ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________Send to: Academic Exchange Quarterly PO Box 131, Stuyvesant Falls, NY 12174 USA