The American Book Center

TEACHERS CARD REGISTRATION FORM

School : ________________________________________

Department : ________________________________________

[ ] university / HBO
[ ] elementary school / highschool

Name:________________________________________

[ ] male [ ] female

E-mail : ________________________________________

Street : ___________________________________ No. : __________

Postcode : _______________ City : ____________________

Country : ___________________________________

Telephone : ____________________

[ ] I would like to receive a teacher's card**
[ ] I already have a teacher's card

** Send this form with a copy of your pay-slip to:
The American Book Center, Marketing Dept, Spui 12, 1012 XA Amsterdam.
If your request is honored you will receive your card by mail within 3-4 weeks.

What subjects would you like to receive emails about?
[ ] book news & events (one monthly email)
[ ] bargains (every two weeks new bargains)
[ ] Treehouse special events - Amsterdam
[ ] Treehut special events - Den Haag

Your Comments :

____________________________________________________________

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The information you supply is strictly to keep you informed & to check your discount card validity.
We will never sell our database, nor let a 3rd party use it.