HREI™ ORDER FORM

 12-MO. SUBSCRIPTION

(Please complete and fax or mail this page.)

q YES! I accept your offer to get 12 monthly issues of Healthcare Real Estate Insights™ to

keep giving my firm an edge in the medical facilities marketplace! Price is $599 per year. RE-12

MINNESOTA RESIDENTS: Add Minnesota (6.5%) and Hennepin County (0.625%) sales taxes as required.

Name                                                                                                                                                              

Title                                                                                                                                                                 

Organization                                                                                                                                                      

Mailing Address                                                                                                                                                

City, State & Zip                                                                                                                                                 

I prefer to receive HREI™ in this format (please choose only one):  

q Mailed Printed Copy  q Emailed Link to Online PDF File   Email Address:                                                         

q Both Mailed Printed Copy and Emailed Link to Online PDF File (This costs an additional $100 for a total of $699.)

Preferred Payment Method (please select one):

q Online (click here)                                                    Enter Promotional Code:                                                    

q Bill me

q Enclosed is my check payable to Wolf Marketing & Media LLC

Charge to:   q Visa    q Mastercard       q American Express    q Discover

Name (must be EXACTLY as it appears on credit card)                                                                                           

Credit Card Billing Address (if different)                                                                                                                  

City, State & Zip                                                                                                                                                  

Credit Card #                                                                                                    Exp. Date                                     

3- or 4-Digit Security Code                              Signature                                                                                         

CREDIT CARD ORDERS WILL APPEAR ON YOUR CREDIT CARD STATEMENT AS A CHARGE TO: Wolf Marketing & Media.

4 EASY WAYS TO ORDER:

ONLINE: www.hreinsights.com             MAIL: HREI™, P.O. Box 1467, Minnetonka, MN 55345-0467      

FAX: (952) 960-1426                             PHONE: 1-800-613-8731

* If you order online and you have a promotional code, please enter your promotional code when you check

out. If you fax or mail this form, please write your code (above). Your discount will be instantly applied.

 Thank you for your order! You will begin receiving issues as soon as your payment is processed.