Order Form
Bill To:
School / Institution / Other
Address
City County
State Zip Code
Phone Number
Ship To:
Total for Above Items
Total from Other Side
Sub-Total
Shipping
(see chart on inside back cover)
Excludes furniture & equipment items.
Applicable Sales Tax
PA, NY, OH, KY, AR, MD, MA, NC & VA Residents
(Shipping charges are taxable
in PA, NC, NY, OH & AR only).
Total Order
Thank you for your order!
Code No.
(5 Digit No.)
In case the item you ordered is unavailable, would you prefer us to:
Backorder Substitute Cancel
Shipping & Handling Charges
Please use the chart on the inside back cover to calculate shipping and handling charges on orders
for supplies (Pgs. 2-610). On orders for Furniture and Equipment (Pgs. 611-798), Moist Clay, Sand weighing 25
lbs. or more, items specifically marked “F.O.B. Shipping Point”, and orders for shipment outside the
continuous U.S., the freight charges will be prepaid and added to your invoice. Pre-order freight
charge estimates are available on request. Also, should you require inside delivery, expedited delivery,
or any other special service, the actual transportation cost will be added to your invoice.
Signature of Authorized Buyer
Bill to Account
Payment Enclosed
Overpayment will be refunded, balance due will be billed.
Charge to:
VISA MasterCard
Expiration
Date
V erification
Number
ATTN:
School / Institution / Other
Address (Be exact - Number, Street, Highway, etc.)
City State Zip Code
Phone Number E-mail Address
Purchase Order
Number:
Date:
Card
No.
Quantity Unit Unit
Price
Total
Amount
Description
Sales Tax: Pennsylvania, New
York, Ohio, Kentucky, Arkansas,
Maryland, Massachusetts, North
Carolina and Virginia residents
must add applicable sales tax or
fill out and enclose a tax-exempt
certificate. Orders billed to individuals
may NOT use an institution's
tax exemption certificate. American Express
Name and address on account MUST match ‘Bill To’ above.
Sub-Total
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