Bringing people and services together.

703 S. Main Street, Suite 211 • Akron, Ohio 44311 • 330-762-5627 • FAX: 330-253-1137
www.infolineinc.org

WHERE TO TURN DIRECTORY - ORDER FORM
Date:

__________________________________________

Name and Title:

__________________________________________

Organization:

__________________________________________

Street Address:

__________________________________________

City, State, Zip:

__________________________________________

Phone:

(____)_____________________________________

Email Address:

__________________________________________

Number of Copies:

_____________

Subtotal at $20 per copy:

_____________

($15 per copy for order of 10 or more)

Sales Tax: 6.50% ($1.30/copy):

_____________

If your organization is tax-exempt please enter -0- and enclose your Blanket Certificate of Exemption.

Shipping ($5.00 per copy)

____________

NOTE: You can choose to pick up your order at our office and save on shipping charges.

TOTAL =

____________

Method of Payment:
_____

Cash

_____

Debit Card

_____

Check: #_________

_____

Visa, Mastercard, AmEx

_______________________________________________________________
Card Number
Expiration Date
_______________________________________________________________
Signature of Cardholder

Mail to: Info Line, Inc., 703 South Main Street,Suite 211, Akron, OH 44311

Fax to: 330-253-1137

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