Organization: Date: Name: Contact Number: Email: Shipping Address: City: Zip code: PICKUP ORDERS ONLY Preferred Pickup Date: Unit Price Quantity Total English Home Stretch Manual $160.00/box (24 manuals per box) Spanish Home Stretch Manual $160.00/box (24 manuals per box) $22.00/box of 24 Shipping & Handling Subtotal: Sales Tax: (If Applicable) TOTAL ORDER AMOUNT □ □ □ OFFICE USE: Cash/Money Order Check Online
Organization: Date: Name: Contact Number: Email: Shipping Address: City: Zip code: PICKUP ORDERS ONLY Preferred Pickup Date: Unit Price Quantity Total English Home Stretch Manual (24 manuals per box) $160.00/box Spanish Home Stretch Manual (24 manuals per box) $160.00/box Shipping & Handling $22.00/box of 24 Subtotal: (If Applicable) Sales Tax: TOTAL ORDER AMOUNT OFFICE USE: Cash/Money Order □ Check □ Online □
2015-Manual-Order-Form-New-Edition.docx