Arthur M. Bodin, Ph.D., ABPP

(650) 328-3000    















Pay Survey Usage Fees by Mail


To pay usage fees by mail, please print and fill out the form below and mail it with a check or money order.

If you prefer to make your payment online via PayPal, please use the Online Payment Form.

Note: Your materials will be mailed within 7-10 of receiving your request and payment.

To print the form, you will need to have Adobe Acrobat Reader installed on your computer. To download the latest version of Adobe Acrobat Reader for free, visit the Adobe web site by clicking on the link below and follow the instructions for download and installation.

If you already have Adobe Acrobat Reader simply click on "PRINT FORM" below.

PRINT FORM

 


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