Please print this form and return top portion with payment to:
CES National
1330 Brodway,Suite 600
Oakland, CA 94612
Fax: 510-433-1455
Shipping Information
Name:__________________________________________________
Org:____________________________________________________
Address:________________________________________________
Address:________________________________________________
City/St/Zip:______________________________________________
Phone:______________________ Email:______________________
|
__Check or Money Order |
(Payable to Coalition of Essential Schools,Inc. CESFederal ID# 06-1489409) |
|
__Purchase Order |
(Copy of PO required--separate PO required for Horace subscriptions) |
|
__Credit Card |
__Visa __Mastercard __American Express |
Name on Card:___________________________________________
Billing Address:___________________________________________
City/St/Zip:______________________________________________
Card #:_____________________________ Exp Date:___________
Signature:___________________________ Date:______________
To find the Code#, Title, and Unit Price, either search the resources database, or see the list of all resources for sale.
|
Code # |
Title |
Quantity |
Unit Price |
Total |
|
Minimum order of $10.00 |
Subtotal= |
|||
|
Horace Subscription - No S&H |
Shipping & Handling= |
|||
|
Grand Total= |
||||