Order Form
144
Bill to:
_
Name
School/Company
Street
City
State
ZIP Code
Telephone
Ship to:
Name
School/Company
Street
City
State
ZIP Code
Telephone
M E T H O D O F P A Y M E N T
P.O. Attached: #
Bill my Customer Account Number:
Payment Enclosed:
Check
Money Order
Credit Card Information (check one)
VISA
MasterCard
Discover
American Express
Credit Card Number:
Expiration Date:
Name as it appears on credit card
I authorize Santillana USA Publishing Company, Inc. to charge my credit card for the books listed in this order, for
freight, and for applicable sales taxes.
_________________________________________________________________________
Signature
ISBN
Qty.
Price
Total
SUBTOTAL
Freight**
TOTAL $
Sales Taxes*
TOTAL
* Add corresponding sales taxes if ship-to address is in one of the following states:
CA, FL, WA. If tax exempt, attach signed certificate of resale.
** If subtotal is less than $100.00, add $9.00. If $100 or more, add 9%.
2023 NW 84th Avenue, Doral, FL 33122
Tel: 800-245-8584 ‑‑ Fax: 888-248-9518
Schools:
Trade/School Distributors:
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