Subscription Rates
To start your one-year subscription, just print this page, complete the information, and send it along with your payment by check or money order to the address shown below.
| Residents | 1 Year | 2 Year |
| 1 - 5 | $25.00 | $45.00 |
| 6 - 20 | $35.00 | $65.00 |
| 21 or More | $45.00 | $85.00 |
| Agency / Professional | $50.00 | $95.00 |
Additional 6 - issue Subscriptions to Same Address | $10.00each | -------- |
Name:_________________________________Title:_________________________
Facility Name / Organization: __________________________________________
Address:____________________________________________________________
City:___________________________ State:_______ Zip:____________
Phone: (_____)_______________ Fax: (_____) _________________
Email address:_______________________________________________________
Amount Enclosed:_________________ Number of Residents__________
Board and Care Quality Forum
1728 Holly Lane
Pittsburgh, PA 15216
Voice: 412-563-7330 Fax: 412-563-7331
email: bcqf@msn.com Website: www.bcqf.net