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PRINTABLE
ORDER FORM
(This form is intended only for fax or postal mail)
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Item
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Qty.
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Unit
Price
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Net
Amount
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Merchandise Total | |||||||
| Shipping (see table below) | ||||||||
| KS Residents add 7.525% sales tax | ||||||||
| ORDER TOTAL | ||||||||
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Payment
Method:
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Check Enclosed_____(payable
to Autism Asperger Publishing Co.) |
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I am a:
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Card Type: __________________________________________ |
Card #_____________________________ Expiration: ____/____ |
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Name on Card: ________________________________________ (please print) |
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Signature: ____________________________________________
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Shipping Table
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Merchandise
Total
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US
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Canada
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| Less than $0 - 50.00 |
5.00
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7.50
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| $50.01-$100.00 |
8.00
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12.00
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| $100.01-200.00 |
10.00
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15.00
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| $200.01-300.00 |
20.00
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30.00
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| $300.01-400.00 |
30.00
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45.00
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| Over $400.00 |
40.00 + 1% of subtotal
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40.00
+ 1% of subtotal
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International
Orders - Call for rate
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