School Direct
.
Order Form
To order:
Fax 800-733-2098
Phone 800-733-2828
Mail: Houghton Miffliin Company
Customer Service
1900 South Batavia Avenue
Geneva, IL 60134-3399

Your Order No.______________________ Date__________________

Method of Payment:
Check or Money Order: Amount Enclosed $____________________
Bill Our Account No.______________________________________
Mastercard Visa  __________|__________|__________|__________
American Express      Credit Card Account Number
____________       __________________       ______________________________
Expiration Date       Cardholder's Zip Code       Signature

Method of Shipment Preferred: _________________________________
Daytime Phone Number (      ) _____________________________________

Prices effective until October 1, 2001. Prices are subject to change.

PLEASE PRINT OR TYPE

Charge to:
Name______________ Position_________
School_____________________________
School Address______________________
City_____________ State___ Zip_______
County/District (optional)______________
Send to:
Name______________ Position_________
School_____________________________
School Address______________________
City_____________ State___ Zip_______
County/District (optional)______________

Email electronic titles to:
First Name:_________________ Last Name:______________________
Passkey Recipient Email Address:_______________________________

Catalog Code Number Description/Title Quantity School Price* Total
         
         
         
         
         
         
         
         
         
         
         
         
         
*School Price includes the regular educational discount (transportation and handling additional). Shipping and handling charges are prepaid and added to the invoice as a separate item. If payment for educational material is enclosed with your order, please add 9% or $4.00, whichever is greater, to cover transportation and handling costs. State and local taxes should be added where they apply. PRICES ARE SUBJECT TO CHANGE WITHOUT NOTICE. Subtotal  
9% to cover transportation
and handing costs
 
state and local taxes  
TOTAL  
THANK YOU  


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