Use our on-line ordering system or
PRINT THIS and FAX to (630) 208-9682

Yes, Sign me up for
PULPS™!
By signing up you agree to a monthly charge to your credit card account until cancelled by
you. If you need to cancel we make it easy. Just call 877-890-1405 or send us an email at support@hurdlegroup.com.
ACH Payment is also available. You can also save 10% by paying annually in advance.
Pricing
Complete the following information and fax to (630) 208-9682 to begin your subscription
today.
Order Form
Start Date: _______________________
Circle your Monthly Rate from chart above
E-mail address: _______________________________________
Full name, title ________________________________________
Institution name _______________________________________
Mailing address
_____________________________________________________
City State Zip

Credit card type: _______________________________________
Credit card number _____________________________________
Expiration date _________________________
Name on Credit Card ____________________________________
Card Security Code (CSC) __________________
Billing address if different from Institution address:
Authorized Signature __________________________________
Today's Date ____________________
Your E-mail address is used to send an order confirmation and to communicate about your subscription
(877) 890-1405
Hurdle Group, Inc.
238 Kenston Court
Geneva, IL 60134
General Information:
sales@hurdlegroup.com
support@hurdlegroup.com
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