SAN
ANSI/NISO Z39.43-1993
STANDARD ADDRESS NUMBER--UNITED STATES AGENCY
International Standard Numbering System for the Information Industry
630 Central Avenue, New Providence, New Jersey 07974    
Email: isbn-san@bowker.com  FAX: 908-219-0188
 R.R. Bowker LLC, a Cambridge Information Group company

APPLICATION FOR A SAN ASSIGNMENT FOR A BOOK MANUFACTURER


Please assign a SAN to the following address:



ORGANIZATION NAME:  ____________________________________________________________

ADDRESS:       _________________________________________________________________

________________________________________________________________________________

CITY:  ____________________   STATE:  ___________  

COUNTRY:  ___________________   ZIP:  ______________________

PHONE NUMBER:  _____________________  FAX NUMBER:  _____________________________

E-MAIL:  ______________________  WEB SITE:  ____________________________________

FAX-ON-DEMAND:  _______________  TOLL-FREE FAX:  _______________________________

CONTACT NAME:  _________________________________________________________________

TITLE:__________________________________________________________________________


TYPE OF BUSINESS:  (Please check one)


____________  Compositor/Pre-Press   ____________  Printer/Bindery

____________  Component Printer      ____________  Paper Vendor

____________  Cloth Vendor           ____________  Cover Component 
                                                   Vendor
____________  Other, Please clarify: ____________________________________________

_________________________________________________________________________________



PAYMENT: When submitting this print application, a $20 surcharge will be added to the total fee.  
Please note that there is no surcharge if you choose to submit your application electronically.  
If you wish to submit an electronic application, please go to www.isbn.org, and select the secure server.


A Non-Refundable One Time Service Charge of $150 Per SAN For Each Assignment
Express Processing Surcharge Per SAN $75 Priority Processing Surcharge Per SAN $25
(Service charge fees are subject to change) __ Check/Money Order enclosed. Make payable to "R. R. Bowker." __ Charge: ____ American Express ____ Visa ____ Master Card ____ Discover Card Holder Name: ______________________________________________________________ Account #: __________________________ Expiration Date: __________________ Manual Processing Fee: $20.00 SAN Service Charge: $150.00 Express Processing Surcharge $________________ Priority Processing Surcharge $________________ Total amount enclosed or charged:$________________ * Note: Bowker does not charge Sales Tax

Our Company hereby applies to the ISBN/SAN U.S. Agency for a SAN Assignment Authorized signature: __________________________________________________________ Title: _________________________________________ Date: ___________________ Processing Information: Your application for a SAN Assignment will be processed ONLY if you include the following: 1. Completed application 2. Payment Processing time for a SAN application is 15 full business days from the date of receipt (provided there are no problems with the application). Express Processing: Express processing includes a return within 24 business hours by e-mail ONLY (providing there are no problems with the application). Express service applicants MUST provide an e-mail for delivery of SAN. Contact e-mail: _________________________________________________________ Priority Processing: Priority processing includes a return within 72 business hours of receipt (provided there are no problems with the application).
ADDITIONAL SAN ASSIGNMENTS
________________________________________________________________________________

     NAME:  ________________________________________________    

  ADDRESS:  ________________________________________________    

            ________________________________________________    


  [  ] Ship to  [  ] Bill to  [  ] Warehouse  [  ]  Returns     

  [  ] Other (Specify):  ___________________________________    

      SAN:  ________________________________________________    
                                                                
________________________________________________________________________________



________________________________________________________________________________

     NAME:  ________________________________________________    

  ADDRESS:  ________________________________________________    

            ________________________________________________    


  [  ] Ship to  [  ] Bill to  [  ] Warehouse  [  ]  Returns     

  [  ] Other (Specify):  ___________________________________    

      SAN:  ________________________________________________    
                                                                
________________________________________________________________________________



________________________________________________________________________________

     NAME:  ________________________________________________    

  ADDRESS:  ________________________________________________    

            ________________________________________________    


  [  ] Ship to  [  ] Bill to  [  ] Warehouse  [  ]  Returns     

  [  ] Other (Specify):  ___________________________________    

      SAN:  ________________________________________________    
                                                                
________________________________________________________________________________