| ORDER FORM FOR "COLORS" & "NUMBERS" | ||
| (Please note: make check or money order out to Dickson Enterprises Incorporated and not TRAIN YOUR BRAIN, LLC) | ||
| Directions | ||
| 1. Print order form | ||
| 2. Complete Information | ||
| 3. Mail order form with a Check or Money Order to | ||
| Jacqueline Dickson, DEI | ||
| 103 Central Avenue | ||
| Stirling, New Jersey 07980 | ||
| USA | ||
S H I P T O : _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ T E L E P H O N E : Business: ( ) _________________________________ Home: ( ) _________________________________
Check is enclosed # ______________________________ Purchase Order is enclosed # ______________________ |
||
Quantity |
Unit Price |
||||||
| "COLORS" | ____ |
x | $20.00 | = | $ _____ | ||
| "NUMBERS" | ____ |
x | $20.00 | = | $ _____ | ||
SAVE MONEY AND BUY BOTH |
____ |
x | $35.00 | = | $ _____ | ||
|
- New Jersey Residents add 7% Sales Tax: |
= | $ _____ | |||||
- Postage & Handling: |
_____ |
x |
$4.50 |
= | $ _____ | ||
====== |
|||||||
Total: |
$_____ | ||||||
| - Please make check or money order payable to 'Dickson Enterprises Incorporated'. | ||
| - Please allow four to six weeks for delivery. | ||
| - If defective, return to Jacqueline Dickson, DEI for replacement within 35 days from date mailed to you. | ||