Editor-in-Chief |
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Asian Journal
of Andrology (AJA) regularly offers the authors/readers reprints of any
article appearing in the Journal. Reprints will be bound up with the formal
AJA cover. Please fill in the following blanks (print or in block letters)
and return the Form with the payment to the Editorial Office. _______________________________________________________________________________________________ Institution & address: _______________________________________________________________________________________________ ________________________________________________________________________________________________City: State/Province: _________________Zip Code: _______________Country: ______________________ Tel. Area code: ___________ , City code: __________ , No. ________________ Fax:___________________________ Email ________________________________ Requested article: Year; Volume, issue, beginning/end pages: AJA 200__________ _______ No. of pages ______________ Title of Article: _______________________________________________________________________________________________ ________________________________________________________________________________________________
_______________________________________________________________________________________________ Cost in USD (at a progressively decreasing rate)
Signature:___________________________
Date:___________________________
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