Prop 65 News Registration Form
Prop 65 News service requested: _____ Standard Newsletter Subscription ($1,095/year)
_____ Full Website Access License - Tier 1 (1 license $2,990/year)
_____ Full Website Access License - Tier 2 (2-4 licenses $6,000/year)
_____ Full Website Access License - Tier 3 (5+ licenses $9,000/year)
Non-profit business trade association or a non-profit corporation
_____ Non-Profit Standard Newsletter Subscription ($250/year)
_____ Non-Profit Full Website Access License (1 license $995/year)
_____ Non-Profit Full Website Access License (2-4 licenses $1,295/year)
_____ Non-Profit Full Website Access License (5+ licenses $1,500/year)
Please provide us with all of the following contact information:
Name:
Title:
Company:
Address:
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Phone:
Fax:
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Mail form and make checks payable to:
Prop 65 News
350 S. Grand Avenue, Suite 2930
Los Angeles, CA 90071
Or fax this form to: (415)-544-0112 for processing. We will then e-mail you an invoice to enable you to pay by credit card. Thank you!