ACA BOOK ORDER FORM
      This is a form to order the ACA book So Far and Yet So Near
      ACA guarantees that your name and address 
      will be held in strictest confidence.

      Or you can order directly from www.amazon.com USA or from www.amazon.co.UK

      To order the book directly from ACA, please fill out the boxes below.

   Family Name: * 
    First Name: * 
Street Address: * 
          City: * 
State or province:  
   Postal Code: *
       Country: *  
         Phone:    Fax:  
 Email address: *
                *(Item must be filled out) 
 Please send:  copy(ies) of So Far and Yet So Near
 Price per copy is $25.00
 How did you hear about us (optional)?: 

Shipping and handling charges (economy rates)
                  For first book    Each additional book
United States     $5.00             $2.00
Switzerland       $5.00             $2.00
Great Britain     $5.00             $2.00
Rest of Europe    $7.00             $2.00
Rest of World     $9.00             $2.00
Total purchase (including shipping and handling) US$
You can pay using Visa, MasterCard or American Express.
Card type:Visa MasterCard AmEx
Card number:  Expiry date:
Name on Card:

You can also pay by direct bank transfer to American Citizens Abroad 
US$ account with UBS Geneva Switzerland.
IBAN account number CH74 0024 0240 200 806 60P  Swift: WCH ZH 80A
Bank transfer order made by (name): on (date):

If you have trouble sending this form electronically, 
you can print it out and send it by fax or regular mail to:
    ACA
    5 rue Liotard
    1202 Geneva
    Switzerland
    Fax +41 22 3400233