Publication Request Form
FAMILY VIOLENCE RESEARCH PROGRAM
Family Research Laboratory, University of New Hampshire
Durham, New Hampshire 03824
Phone: (603) 862-1888 FAX: (603) 862-1122
BOOKS: Order from Publisher
ARTICLES WITH AN * before the identification code can be requested using
this form. Please list those you want. The prices shown after each item
represent the cost of reproduction. If you can contribute this amount, it
will help cover our expenses. But please do not ask us to bill you
because we are not set up to do this. Make checks payable to Family
Research Laboratory.
OTHER ITEMS: These may be available directly from the author. See list
of addresses at end of bibliography.
Please indicate the publication code number (e.g. V6, VA6) and price for
each item:
# Price # Price # Price # Price
_____ $ _____ _____ $ _____ _____ $ _____ _____ $ _____
_____ $ _____ _____ $ _____ _____ $ _____ _____ $ _____
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_____ $ _____ _____ $ _____ _____ $ _____ _____ $ _____
_____ $ _____ _____ $ _____ _____ $ _____ _____ $ _____
We would appreciate your indicating Subtotal $______
YOUR WORK (Circle one or more): Postage $ 2.50
1. College/University teacher
2. Researcher Total $______
3. Human Service provider
4. Undergraduate student Send items listed above to:
5. M.A. student
6. Ph.D. student _______________________________
7. Other
_______________________________
YOUR RESEARCH ON FAMILY VIOLENCE:
1. Library study _______________________________
2. Empirical study completed
3. Empirical study in process _______________________________
4. Empirical study planned