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Personal Order Form | NYSTL Only Order Form

SCHOOL & BOOKSTORE ORDER FORM

Active Learning Corporation
P.O. Box 254
New Paltz, NY 12561
(845) 255-0844 (Tel/Fax)
EMAIL: rse852@aol.com

School Orders

• To fax your school purchase order, send it to (845) 255-0844.

• To order by mail, send your school purchase order with authorized signature to the address above.

• To order by credit card online, complete this form and submit it through our secure server.
Bookstore Orders

• To order by mail, send your bookstore purchase order with payment (check, money order, credit card) to the address above.

To order by credit card online, complete this form and submit it to our secure server.

QTY
ISBN#
Title/Description
Price Per Item
List
Price
School/
Bookstore Price
Total
0-912813-30-X
The Active Reader for Writers
w/Answer Key
$24.95 $18.95
0-912813-19-9
Reading Models Booklet
for The Active Reader for Writers
$6.95 $4.95
0-912813-31-8
Writing Basics
$19.95 $14.95
0-912813-35-0
Writing Essentials
$19.25 $14.95
0-912813-32-6
Short Stories
$23.95 $17.95
0-912813-33-4
Writing Portfolio Organizer $6.25 $4.95
     
Merchandise Total
       
Shipping and Handling Charges
Under $50: $8.00; Over $50: 10% of Merchandise Total
     
New York State residents add 8% sales tax.
     
TOTAL
Federal ID# 14-1676685

INFORMATION IN RED IS REQUIRED
Bill To

Address


City, State, Zip

 

Shipping Information:

Your Name

Your Title

Shipping address if different from above.

 MC Visa  Discover

Card #

Exp. date (mm/yy)

Name on card

Phone

Best Time to Call

Email address

Prices subject to change without notice.
All sales payable in U.S. dollars

      

Thank you for your purchase.
Please allow 2 - 4 weeks for delivery.
Foreign/Overseas Orders: Shipping costs may vary with destination and may incur additional charges.
We will contact you upon receipt of your order should additional shipping charges apply.

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