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Carrier University

Literature Order Form


Payment Method:
Check Enclosed
VISA
MasterCard
Print Card Number Below:

AMEX

Fax this form to 860-660-6087 or


Mail to:
Carrier University
PO Box 4808 / TC-1
Syracuse, New York 13221-4808

Security Code:

Expiration Date:

Print Name As It Appears On Card:


Billing Address:

Ship To Address

Company Name:

Company Name:

Attn:

Attn:

Street:

Street:

City/State/Zip

City/State/Zip

Phone:

Phone:

Email:

Email:

Order Date:

Date Required:

CANNOT SHIP TO PO BOXES

PO Number:

Special Instructions:
Item

Qty
Ordered

Catalog No.

Description

Unit Price

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Ground Freight is prepaid and allowed.
Air Shipments: Cost will be equally divided
amongst all items on the order. Please call
800-644-5544 Option 2 for final costs.

If you are tax exempt, please enclose a Tax- Exemption Certificate.

carrieruniversity.com

Subtotal

Minimum Order
Amount $10.00

Sales Tax
Total

Extended
Price

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