Cornell Chronicle Order Form
Contact Information      
  Name:  
  Phone Number:  
  Email Address:    
  Department/Campus Address:  
  Street Address 2:  
  City and Zip:  
Order Information      
  Ordering Issue Number(s):  
  Number of BLACK & WHITE copies @ $0.25/per copy:  
  Number of COLOR copies @ $0.99/per copy:  
Delivery Method      
  Please select a delivery method:  
  Name:  
  Department / Campus Address:  
  Street Address 2:  
  City and Zip:  
Payment Information      
  Cornell department charge account number:  
  Credit Card: If paying by credit card, after submitting form, please call 607-255-2524. Leave your name, credit card number and expiration date with our customer service representative or on our secure voice mail. ($10 minimum order)  
       
  Other Comments:    
   
       
  PLEASE NOTE: Orders will be ready for pickup within one business day, or delivered within two business days.  
  * Is this a standing order? (weekly subscription)  
       
Please type the two words in the text box below: