The Dark Report - Request Past Issue Order Form

Purchase a Past Issue(s) of The Dark Report.

For a hard copy please provide the following contact information below.
Payment by check or credit card is necessary to process individual orders.

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail
Issue Requested
Please note: Credit card information transmitted over the internet may not be secure. We recommend that you print this form and fax it to us at (10) 512-264-0969. Mailing Address: The Dark Group, Inc., 21806 Briarcliff Dr., Spicewood, TX 78669.
Cardholder Name
Credit Card Type
Card Number
Expiration Date
You may submit your request electronically or print this form and fax it to our office at 512-264-0969. Your credit card will be assessed $43.00 (US) for recent issues, $21.00 (US) for issues older than 12 months, $49.95 (US) for the 1st White Paper (25 December 2000) and $69.95 for the 2nd White Paper on Consumer Directed Health Plans (26 December 2005). Your request will be filled at the earliest convenience.
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