Total Product Order: $_______
Shipping and Handling: 8% of total order
$_______
(or a
$4.00 minimum)
Total of Order: $_______
Bill To:
Name _______________________________________________________________
Title or Department ___________________________________________________
School or Organization ________________________________________________
Street Address________________________________________________________
City,State,Zip________________________________________________________
E-mail Address: _____________________________________________________
Shipping Address (if different than above)
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
Please print out this form, fill it in, and send a check for the total to: