Fax this Completed Form to SkillUSA at 703-777-8999 |
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Bill To: |
Ship To: |
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Dist.
or School School: Name: Teacher:: Dept:: Title: C/S/Zip: Address: C/S/Z C/S/Zip: Phone:
ext. Phone:
ext. Fax: E-mail: Method
of Payment: (Circle
one)
PO
Check
MC
Visa
Discover PO
#
(Please fax or enclose with
order) Name
on
Card CC
# Exp
Date
3
digits on
back Card
Billing Address
Billing
Zip
Code Item
Code Item
D.O.R.O.T.H.Y.
for SkillsUSA--Advisor File Managment
Software $149.00
Shipping
- 10% of the Total:
Total:
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