 |
PRINTABLE
ORDER FORM
(This form is intended only for fax or postal mail)
|
|
PRINTABLE
ORDER FORM
(This form is intended only for fax or postal mail)
|
Item
|
Qty.
|
Unit
Price
|
Net
Amount
|
|||||
|
|
||||||||
|
Merchandise Total | |||||||
| Shipping (see table below) | ||||||||
| KS Residents add 7.525% sales tax | ||||||||
| ORDER TOTAL | ||||||||
|
Payment
Method:
|
Check Enclosed_____(payable
to Autism Asperger Publishing Co.) |
|
I am a:
|
Card Type: __________________________________________ |
Card #_____________________________ Expiration: ____/____ |
|
Name on Card: ________________________________________ (please print) |
|
Signature: ____________________________________________
|
|
Shipping Table
|
Merchandise
Total
|
US
|
Canada
|
| Less than $0 - 49.99 |
6.00
|
9.00
|
| $50.00 - 99.99 |
9.00
|
13.50
|
| $100.00 - 199.99 |
12.00
|
18.00
|
| $200.00 - 299.99 |
25.00
|
37.50
|
| $300.00 - 399.99 |
30.00
|
45.00
|
| $400.00 and over |
40.00 + 3% of subtotal
|
60.00
+ 10% of subtotal
|
International Orders - $1 - 24.99 25.00; over $25.00 - call for rate |
||
|
|
||
Search
