U.S. ORDER FORM

Directions: This form is merely for your convenience; a note containing the required information can be substituted. To print the form: Check to be sure your printer is on; then click on the print button on your browser, or choose "Print" within your browser's File menu. After the form has printed, fill it in completely. (Phone 937-767-1142 if you have any questions.) Mail the order form with check, money order, or purchase order to:

THE WORD WORKSHOP, 1317 Shawnee Drive, Yellow Springs, Ohio 45387

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ORDER FORM (for use within U.S.)

Name ___________________________________________________________

Address__________________________________________________________

City____________________________________State______Zip____________ Phone: _________________

Please send

____ copies of WORD WORKOUT workbook @ $15.00 per copy	$_______
____ copies of Exercises from WORD WORKOUT @ $7.00 per copy	_______
____ copies of SHORT CUTS TO LONG WORDS @ $18.00 per copy	_______
____ copies of WORD WORKOUT CD @ $39.00 per copy [ or $29.00 if purchased with either workbook ]	_______
____ copies of Demo of WORD WORKOUT CD @ $3.50 per copy	_______
Total for merchandise	_______
Sales tax (Ohio residents only): County__________; tax rate: ___%	_______
Shipping & Handling (from chart below)	_______
Total enclosed	$_______

SHIPPING AND HANDLING CHARGES

If cost of items is:

$3.50 ..........

$7.00 ..........

$7.01 to $15.00 ..........

S & H is:

$2.00

$2.50

$3.00

If cost of items is:

$15.01 to $39.00 ..........

$39.01 to $79.00 ..........

Over $79.00 ..........

S & H is:

$3.75

$4.50

Ask publisher

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