Copyright © 2008
ORDER FORM (For Schools and Colleges)
P.O. Box 5757, Auburn, CA 95604 U.S.A.
(530) 885-8523 FAX (530) 885-8523
School __________________________________________________________
Name ___________ _________________________________________________
Address __________________________________________________________
City _______________________________ State ________ Zip ____________
Country __________________ Email __________________________________
Phone ( ____ ) __________________________________ Date _______________
Payment by: [] MasterCard [] VISA
Credit Card # ________________________________________ Exp. _________
ITEM DESCRIPTION QTY. PRICE TOTAL FREE Transfer Paper FREE FREE Sub Total
(For Schools and Colleges) - 20% Discount
Sub Total
(See Shipping Chart Below) + SHIPPING
TOTAL AMOUNT
Note: Please check the correct payment box below...
[] I'm attaching a Purchase Order with this Order From.
(I understand that my school will be billed)
or
[] I'm attaching my School's Letter Head with this Order Form.
(I'm also including my Credit Card Information above)
Please FAX your order to: FAX (530) 885-8523
SHIPPING CHARGES SUBTOTAL USA CANADA $00.00 tO $10.00 $2.95 $ 2.95 $10.01 to $20.00 $3.95 $ 3.95 $20.01 to $30.00 $5.70 * $30.01 to $40.00 $7.60 * $40.01 to $50.00 $9.50 * $50.01 to $60.00 $11.40 * Call 530-888-6125 19% *
FOR OFFICE USE
AP
REF
DAT
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BY