| Bill to: Name/title: |
Ship to:
Name/title: |
| School/company: | School/company: |
| Address: | Address*: |
| City/state/zip: | City/state/zip: |
| Telephone: ( ) | Telephone: ( ) |
| Purchase Order Number: |
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| Quantity | _Item #_ | _______________Item Name________________ | __Price__ | Amount |
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| Shipping and handling | . | |||
| Subtotal | . | |||
| Sales Tax (Fresno 7.75%), outside Fresno applicable tax | . | |||
| Total | . | |||
Method of payment:
__Check enclosed __Purchase order enclosed
__VISA __MasterCard (there is a $1 charge for using your
credit card when you call in an order)
Account No._______________________________________
Expiration Date: Month:______ Year: ___________
Shipping/Handling
| From | To | Add |
| 0 | $10 | $2.95 |
| $10.01 | $20 | $4.95 |
| $20.01 | $35 | $6.95 |
| $35.01 | $50 | $7.95 |
| $50.01 | $75 | $8.95 |
| $75.01 | $100 | $10.95 |
| $100.01 | $200 | $12.95 |
| $200.01 | $300 | $14.95 |
| $300.01 | $400 | $16.95 |
| $400.01 | $500 | $18.95 |
Please allow four to six weeks for delivery. Prices are subject to change without notice.
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