Quick Tips Ordering Form

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Please use this form to order your WAI QuickTips. If you have trouble filling out the form, please send your request via email to <wai-quicktips@w3.org>. (Note that, when the "Submit" button is selected, your request is sent to wai-quicktips@w3.org, and a copy is sent to the email address you are asked to provide in Step 2 of the following eleven step form.)

1. Name (required):

2. Email (required):

3. Organization Name (required):

4. Address for delivery (required)

Address 1:
Address 2:
City:
State/Province:
Postal Code:
Country:

5. Please indicate a geographic region for quicker receipt:

6. Purpose (required): (e.g., for what event, or for dissemination to what kind of network)

7. Deadline: (fill only if you have a date by which you need to receive the Quick Tips, e.g., the date of an event)

8. Telephone: (required if turn-around-time is short enough to require dispatch of the Quick Tips by express mail)

9. How did you find out about the QuickTips?:

10. Order details

This form lets you order up to 3 different sets of Quick Tips. For more combinations, please use the form multiple times (Submit and then use your Back button).

Order 1: Language: Quantity : Format :
Order 2: Language: Quantity : Format :
Order 3: Language: Quantity : Format :

Quantity: up to 500 cards are available at no charge. For quantities in excess of 500, please send information about your intended distribution plans to <wai-quicktips@w3.org>, and we can discuss different options for getting you the cards).
Braille and large print formats: currently, only the English Quick Tips are available in these formats).

11. or

(Note: Activating the "Submit" button results in the sending of a message to wai-quicktips@w3.org, as well as dispatching a copy of the request to the email address provided in Step 2 of the QuickTips Request Form - Please do not activate it several times by doing Back and Submit again, this will only result in your order being duplicated.)

List of Accesskeys Defined for this Form: N Name (text input field); E Email address (text input field); C Company Name (text input field); A Address (multiple text input fields); R Geographic Region (option list box); L Language (option list box); Q Quantity (option list box); F Format (option list box); P Purpose (free form textarea field); D Deadline (date by which Quick Tips are needed/text input field); T Telephone Number (required for express delivery/text input); H How did you find out about the QuickTips? (text input field); I Introduction/Instructions

End List of Accesskeys Defined for the form/Begin Copyright &

Author: Daniel Dardailler (danield@w3.org) - Last updated: May 30th 2001.

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