Success by Design - Order Form
Contact Information
First Name		Last Name
Purchase Number
School Name
Billing Address
City		State		Zip
Email
Phone		Fax		Alt Phone
Summer Delivery Hours / Days				(Alternate /summer phone number
Requested Ship Date				required for all orders.)
Date handbook submitted to the Success by Design office by
Shipping Information (If different than contact information above.)
School Name
Address
City		State		Zip
Phone		Fax		Alt Phone

Product Order
CODE	QTY	DESCRIPTION	CUSTOM COVER	UNIT PRICE	EXT. AMOUNT
			Yes    No
			Yes    No
			Yes    No
			Yes    No
			Yes    No
			Yes    No
			Yes    No

Custom Covers
QTY	COVER CODE	PAPER CODE	INK CODE	MASCOT CODE	FONT CODE	CUSTOM COVER INFORMATION	UNIT PRICE	EXT. AMOUNT

Custom Handbooks
PAPER COLOR	TOTAL PAGES	PRICE PER PAGE	UNIT PRICE	QUANTITY	EXT. AMOUNT

Special Instructions

Product Subtotal	Custom Cover Subtotal	Custom Handbook Subtotal	Order Subtotal
	+	+	=
Shipping Rate (Minimum $7.50)		Select Location -Outside US AL 12% AR 12% AZ 14% CA 14% CO 12% CT 12% DC 10% DE 10% FL 12% GA 12% IA 10% ID 14% IL 10% IN 10% KS 10% KY 10% LA 12% MA 12% MD 10% ME 12% MI 10% MN 12% MO 10% MS 12% MT 14% NC 12% ND 12% NE 12% NH 12% NJ 10% NM 12% NV 14% NY 12% OH 10% OK 12% OR 14% PA 10% RI 12% SC 12% SD 12% TN 10% TX 12% UT 12% VA 10% VT 12% WA 14% WI 10% WV 10% WY 14%	+
		GRAND TOTAL	=
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