History of Chemistry (book order)

This form collects information so that the book can be mailed via regular US post from the department office.

All profits from sales of this book will fund the E. E. Cordrey chemistry scholarship that supports chemistry majors in our department.

Your Name *
Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone - (###) - ### ####
Email
Number of books ordered
Books ordered by this method must be paid by check or money order.

Please make checks payable to the "UCA Foundation"

Cost per book is $50 + $10 shipping and handling.

Books will be mailed as soon as checks are received in the office and your order is confirmed. Mail checks to

History of Chemistry Book
Department of Chemistry and Biochemistry
University of Central Arkansas
201 Donaghey Ave.
Conway, AR 72035