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ORDER FORM:

 Cat. No.

 Title

 Quantity

 Price Each

 Total Cost
         
         
         
         
         
         
         

 xxxx

 xxxxxxxxxx

 xxxxxxxxxxxx

Sub-total 

_________

 xxxx

 xxxxxxxxxx

 xxxxxxxxxxxx

 10% shipping

_________ 

 xxxx

 xxxxxxxxxx

 xxxxxxxxxxxx

 Total Due

 _________

Shipping and handling is 10% for shipping by 4th class within the US.

Outside the US the shipping rate is 15% or higher. Please call for an exact price.

 

Your name:______________________________________________________________

Street Address:___________________________________________________________

City, State, Zip:___________________________________________________________

Telephone (with area code)__________________________________________________

e-mail address:________________________@__________________________________

 

Please mail your completed order form to:

Arwood Pragmaticism Institute for Communication Therapy

APRICOT, Inc.

P.O. Box 230138

Tigard, OR, 97281-0138

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