ORDERING SRPEDD PUBLICATIONS

ORDERING SRPEDD PUBLICATIONS
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Name: _______________________________________________________

Company/Agency: _____________________________________________

Address: ____________________________________________________

City, State, Zip: _______________________________________________

Day Telephone: ___________________________

SRPEDD Publications Requested: Unit Price Qty. Total Cost

1 . . .

2 . . .

3 . . .

4 . . .

5 . . .

..... Order Subtotal $____.___

..... Postage & Handling: All orders $4.00 and over.......$3.00.......
.....(orders under $4.00, no P&H charge) $____.___

..... Order Total $____.___

Print out this form, complete and mail with check payable to:
SRPEDD, 88 Broadway, Taunton, MA 02780

For more information, send e-mail to: info@srpedd.org or call SRPEDD at 508-824-1367.
Thank you for your order!

Return to SRPEDD Home Page

SRPEDD Publications Requested:	Unit Price	Qty.	Total Cost
1	.	.	.
2	.	.	.
3	.	.	.
4	.	.	.
5	.	.	.
..... Order Subtotal			$____.___
..... Postage & Handling: All orders $4.00 and over.......$3.00....... .....(orders under $4.00, no P&H charge)			$____.___
..... Order Total			$____.___