Page 35 - Career Re-Entry CAT 2020 update_Neat
P. 35

Federal ID#: 54-1191465
                                 ORDER FORM               Division of Development Concepts, Inc.
                                                                       CRES 2020 Update
      PHONE ORDERS          MAIL ORDERS          FAX ORDERS        ONLINE ORDERS
       1.800.361.1055    7820 Sudley Rd., Suite 100  703.335.9486  www.impactpublications.com
                           Manassas, VA 20109                   (query@impactpublications.com)
      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

       9555                  The Freedom Seven! (page 3) EXAMPLE      $23.95














     * 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
                                                                           $5.00
       TERMS: Individuals must prepay;   * Shipping and handling ($5 for first item) ..................................  + %
       approved accounts are billed net 30
       days. All orders under $100.00 should   PLUS following percentages when SUBTOTAL is:
       be prepaid.                     ‰ $10-$99—multiply subtotal by 10% ..................................
                                       ‰ $100-$999—multiply subtotal by 9% ...............................
       RUSH ORDERS: fax, call, or email
       for more information on any special     ‰ $1,000-$4,999—multiply subtotal by 8% ......................
       shipping arrangements and       ‰ Over $5,000—multiply subtotal by 7% ...........................
       charges.                        ‰  If shipped outside the Continental US, add
                                      another $7.00 plus 15% 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
                   ‰ Credit Card:   ‰ Visa  ‰ MasterCard  ‰ AMEX  ‰ Discover
          Card #                                             Expiration Date
                                                 Name on Card
        Signature                                  (print)
   30   31   32   33   34   35   36   37