EurekAlert! Subscription Credit Card Form

To pay for your EurekAlert! subscription by credit card, print out this form, complete it, and fax it to 202-898-0391.

You may also mail it to:
EurekAlert! / AAAS, 1200 New York Avenue NW, Washington, DC 20005.

We cannot accept credit card numbers online.

Institution Name:

Subscription Type:
EurekAlert! + EurekAlert! Chinese
Annual, Non-Profit ($1,325/year)
Annual, For-Profit ($2,650/year)

Per News Release
Non-Profit ($140/release)
For-Profit ($315/release)

Card Type: 
American Express

Card Number:

Security Code (CVV2):

Expiration Date:

Name on Card (please print):

Signature: _______________________________________

Problems printing? Click Here.