Purchase order number: 
School Name:           
Contact person:        
Contact phone:         

Shipping Address

Ship to:               
Address:               
City:                  
State/Province:        
Zip Code:              

Bill to:               
Address:               
City:                  
State/Province:        
Zip Code:              
Contact person:        
Contact phone:         

Quantity:          Unit Price: $29.95           Total: 
-->                                                 Subtotal: 
                                        Shipping (see below): 

SHIPPING
Per manual: First manual--$7; Additional manuals (for orders of two or more)--$5 each

CA schools add 7.75% sales tax ($2.32 per manual):            
                                                       Total: