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Courseware Order Form

Contact Information:

Company

Department

Contact Name (Required)

Contact Phone (Required)

Contact FAX

Contact Mailing address (Required)

Contact Address (cont.)

Contact City (Required)

Contact State (Required)

Contact Zip/Postal code (Required)

Contact Email (Required)

Billing Contact Information:

 

Billing Contact Information same as Contact Information

Billing Contact Name

 

Billing Contact Phone

Billing Contact Fax

Billing Contact Mailing address

Billing Contact Address (cont.)

Billing Contact City

Billing Contact State

Billing Zip/Postal code

Billing Contact Email


Courseware Information: Orders must be a minimum of 10 manuals.

1st Courseware Item:
(course #, title,)

Ver

Lev

Instructor
Kits

Student
Kits

Site License

QuickRef
Card

$
Subtotal

 

Qty

Qty

Qty

Price

Qty

Price

DOC/PDF

Price

Qty

DOC PDF

DOC PDF

DOC PDF

DOC PDF

Subtotal:

Notes

Rush Charge (if applicable):

**Shipping & Handling:

Tax (WA state only):

Total:


Terms of Agreement

Date needed:

(Please do not count the day of class.)

Class Date:

Shipping:

Ground 3 day 2 day Next day Local Printer Pickup Delivery

Materials are shipped Ground unless another method is required to meet your deadline. Rush Charge fee applies for orders that require delivery of books to your location in less than 4 business days.

I AGREE TO THESE TERMS
Type "YES": (required)


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I prefer to pay by:

Bill my company PO #

Company check

Credit Card Type

American Express

Card #

Name on card:

Expiration Date


Please click Submit button one time. A Courseware Order Submitted page should display after a few moments. If it does not, please contact our office. We appreciate your business!