MRK Sneak Peek

Page 20

Order Form Just ASK Publications & Professional Development Ship To

Bill To (If different)

Name

Name

Title

Title

School/District

School/District

Address

Address

City

State

ZIP

City

State

Email

Email

Telephone

Telephone

Fax

Fax

Order #

Quantity Unit Price

Title

ZIP

Total Price

Please attach a sheet of paper for additional products ordered

Subtotal Contact us for quantity discounts and special offers

Shipping and Handling $6 S&H minimum per order 15% on orders under 10 units, 10% on orders 10 units or more $49 S&H for each resource kit

Call 800-940-5434

TOTAL Payment Method (Select One) Check (Please make checks or purchase orders payable to Just ASK Publications) Purchase Order

Purchase Order Number

Credit Card

Visa

MasterCard

Name as it appears on the card Credit Card # Expiration Date Month

AMEX

Mail or Fax to: Just ASK Publications 2214 King Street Alexandria, VA 22301 Fax: 703-535-8502

Year

Check here to receive information about Just ASK workshops, institutes, and train-the-trainer opportunities.

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