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FOR ASSISTANCE CALL TOLL FREE 1-800-245-8584
158
2016–2017 Order Form
MAIL TO:
2023 NW 84th Ave.
Doral, FL 33122
QUESTIONS? Contact Customer Service
800-245-8584
* 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, add $9.00. If $100 or more, add 9%.
EAN
TITLE
QTY
PRICE TOTAL
SUBTOTAL
TOTAL
Sales Tax*
Freight**
TOTAL $
METHOD OF PAYMENT
P.O. Attached Payment Enclosed
Bill my Customer Account Number
VISA MASTERCARD
CHECK MONEY ORDER AMERICAN EXPRESS
Credit Card Number
Expiration Date
Email (for credit card order payment confirmation)
Name as it appears on credit card and zip code
Security Code
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
Date by which
material must arrive
How you first learned
about Santillana USA
Preferred method of
shipping
Sales Representative
who assisted you
PO#
Authorizing signature
Bill to:
Ship to:
Name
Name
School/District
School/District
Street
Street
City
State
Zip
City
State
Zip
Telephone/Ext.
Telephone/Ext.