Please print this order form for your ordering convenience.
Order by Telephone, Fax, or Mail
Order through your customer service facility. (See the Customer Service page for the location serving you.)
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
Name______________ Position_________
School_____________________________
School Address______________________
City_____________ State___ Zip_______
County/District (optional)______________
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 | ||||