Page 31 - Military Cat 32pg rev 9-23
P. 31
Federal ID#: 54-1191465
ORDER FORM Division of Development Concepts, Inc.
Military-to-Civilian 2024
PHONE ORDERS MAIL ORDERS FAX ORDERS ONLINE ORDERS
www.impactpublications.com
1.800.361.1055 7820 Sudley Rd., Suite 100 703.335.9486 (query2@impactpublications.com)
Manassas, VA 20109
Bill To:
Name ______________________________________________ Title _____________________
Address ____________________________________________________________________________
City ______________________________________________ State/Zip _____________________
Phone ( ) _______________________________________________________________ (daytime)
E-mail ____________________________________________________________________________
Ship To: (if different from “Bill To;” include street delivery address) :
Name ______________________________________________ Title _____________________
Address ____________________________________________________________________________
City ______________________________________________ State/Zip _____________________
Phone ( ) _______________________________________________________________ (daytime)
E-mail ____________________________________________________________________________
ORDER # QTY PRODUCT TITLE FORMAT* PRICE TOTAL
7183 EXAMPLE: Military Spouse’s Employment Pocket Guide (pg. 3) $3.95
* Please specify video format: SUBTOTAL ...............................................
y DVD ............................................... DVD * Virginia orders add 6% sales tax .......................................... VA Sales Tax
If exempt, provide certificate
y Streaming Video ................... All FEDERAL GOVERNMENT facilities are exempt from state sales tax $ CA Sales Tax
If exempt, provide certificate
y Combined ................................. DVD * California orders add 7.25% sales tax .................................. $
All FEDERAL GOVERNMENT facilities are exempt from state sales tax
* Shipping and handling ($7 for first item) ..................... $7.00
TERMS: Individuals must prepay; + %
approved accounts are billed net PLUS following percentages when SUBTOTAL is:
30 days. All orders under $100.00 $10-$99—multiply subtotal by 15% ......................
should be prepaid. $100-$999—multiply subtotal by 13% ................
RUSH ORDERS: fax, call, or email $1,000-$4,999—multiply subtotal by 11% .......
for more information on any special Over $5,000—multiply subtotal by 9%................
I
shipping arrangements and f shipped outside the Continental US, add
charges. another $30.00 plus 30% to the subtotal
(call/fax/email for special delivery services) .................
TOTAL ENCLOSED ..................................
PAYMENT Purchase Order #________________ (attach or fax with this order form)
METHOD: Check – Make payable to IMPACT PUBLICATIONS
A
Credit Card: isa MasterCard MEX Discover
V
Card # Expiration
Date
Name on
Signature Card
(print)
