Carrier University

Literature Order Form

Payment Method:
Check Enclosed Fax this form to (315)-4323871 or
VISA MasterCard AMEX Expiration Date: Mail to:
Print Card Number Below: / / Carrier University
PO Box 4808 / TC-1
Print Name As It Appears On Card: Syracuse, New York 13221-4808

Billing Address: Ship To Address

Company Name: Company Name:

Attn: Attn:

Street: Street: CANNOT SHIP TO PO BOXES

City/State/Zip City/State/Zip
Phone: Phone:

Email: Email:

Order Date: Date Required: Orders shipped ground. If overnight shipping is required, please
call for freight quotation. (800)-644-5544 Option 2.
Special Instructions:
Qty Extended
Item Ordered Catalog No. Description Unit Price Price
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Total Order Amount
$25-$50 $5.97 Subtotal
Shipping & $51-$100 $10.79
$101-$250 $12.60
Minimum Order Sales Tax
Handling
$251-$500 $17.29 Amount $25.00.
Charges $501-$750 $25.50 Freight
$751 & Up $35.00
Total
If you are tax exempt, please enclose a Tax- Exemption Certificate.

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