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Fax or Mail to:
P.O. Box 23173
Shawnee Mission, KS
66283-0173
Fax: (913) 681-9473

PRINTABLE ORDER FORM
(This form is intended only for fax or postal mail)

Item
Qty.
Unit Price
Net Amount
       
       
       
       
       
       
       
       
       
       
       
       
 
 
Name________________________________
Address______________________________
City_________________________________
State_____   Zip___________
Telephone____________________________
Merchandise Total  
Shipping (see table below)  
KS Residents add 7.525% sales tax  
ORDER TOTAL  

WE DO ACCEPT PURCHASE ORDERS.

Payment Method:

Check Enclosed_____(payable to Autism Asperger Publishing Co.)
Credit Card:   Credit Cards

 

I am a:
(circle one)

  • Person with autism
  • Person with Asperger Syndrome
  • Friend
  • Parent
  • Professional
  • Student

 


Card Type: __________________________________________

Card #_____________________________ Expiration: ____/____

Name on Card: ________________________________________
(please print)

Signature: ____________________________________________

 

 
.................

Shipping Table

Merchandise Total
US
   Canada
Less than $0 - 50.00
5.00
7.50
$50.01-$100.00
8.00
12.00
$100.01-200.00
10.00
15.00
$200.01-300.00
20.00
30.00
$300.01-400.00
30.00
45.00
Over $400.00
40.00 + 1% of subtotal
40.00 + 1% of subtotal
International Orders - Call for rate


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