Page 35 - Re-Entry CAT 2024 rev9-2023_Neat
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Federal ID#: 54-1191465
ORDER FORM Division of Development Concepts, Inc.
Re-Entry Success 2024
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 (query2@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
9947 Ex-Offender’s Re-Entry Success Guide (page 3) EXAMPLE $22.95
* 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
$7.00
TERMS: Individuals must prepay; * Shipping and handling ($7.00 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 15% ..................................
$100-$999—multiply subtotal by 13% ............................
RUSH ORDERS: fax, call, or email
for more information on any special $1,000-$4,999—multiply subtotal by 11% ...................
shipping arrangements and Over $5,000—multiply subtotal by 9% ...........................
I
charges. f shipped outside the Continental US, add
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
Credit Card: Visa MasterCard AMEX Discover
Card # Expiration Date
Name on Card
Signature (print)
