Multimedia Science - Order Form


			Science Software By Science Teachers For Science Teachers

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Order Form

				Print out this page, fill out the form, include payment (check, money order, or purchase order), and mail to:
					Multimedia Science 121 Clover Hill Lane Wayne, Pa 19087

	Name:	_________________________________________________________
	School:	_________________________________________________________
	Address:	_________________________________________________________
		_________________________________________________________
		_________________________________________________________
	E-mail address:	_________________________________________________________
	Phone:	_________________________________________________________

Name of Software		Order #	Price
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Sub-Total 1			____________
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Shipping & Handling	# of CDs x $3.00		.
Sub-Total 2			____________
Pennsylvania Sales Tax *	Add 6% - Sub-Total 2 x 0.06		____________
Total Cost			.

*	Public schools and non-profit schools are exempt from pa sales tax - please include a copy of exemption certificate REV 12-20 (required)


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