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CASRO Privacy Protection Program (CASRO 3P)



Please note that all CASRO 3P packages are in Microsoft Word format on CD-ROM and are shipped via USPS Priority Mail (in the U.S.) within ten days.

The information provided on this form will only be used to complete your order. For more information about CASRO's privacy policy, please visit our privacy policy page.

1. Please complete each section below: (# Denotes required field)
# First Name:
# Last Name:
# Company/Organization:
# Address:
Address 2:
# City:
# State/Province:
# Postal/Zip Code:
# Telephone:
# E-Mail:

Which package(s) would you like to order? (For a complete listing of documents contained in each package, please view the CASRO 3P Price List ). Please check off the items you wish to order.

Package
Member
Non
Member
 
 
 
Total

$750

$3,500

Privacy

$275

$750

Contractual

$350

$1,000

International & Internet

$350

$1,000

GLB

$350

$1,000

HIPAA

$550

$1,500

Telecommunications

$350

$1,000

EU Handbook

$1,500

$3,000

Total Fee(s):

(Required)
3. Method of Payment
Please choose your payment method from below: (Check, American Express, VISA or MasterCard)

Card Acct. Number:
Expiration Date: Month: Year:
Name (exactly as it appears on the card):

If paying by check, make check payable to CASRO, and mail to: 170 North Country Road, Suite 4, Port Jefferson, NY 11777.

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