| Sesame Workshop Educational Resources Catalog Order Form |
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| Please print clearly | ||||
| Ordered by: | ||||
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| name | title | |||
| check if PBS RTL |  |
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| organization | ||||
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| street address (no delivery to p.o. boxes) | ||||
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| city | state | zip | ||
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| daytime phone | email address | |||
| Ship to: | ||||
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| name | title | |||
| check if same | |
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| organization | ||||
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| street address (no delivery to p.o. boxes) | ||||
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| city | state | zip | ||
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| daytime phone | email address | |||
| Method of Payment: | ||||
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| check / money order | Visa / Mastercard | American Express | ||
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| credit card number | expiration date | |||
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| authorized signature | ||||
| item# | description | quantity | price | total ... | ||||||||||||||||
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* Add applicable sales tax to orders shipped to CA, IN or NY. If you or your organization has tax-exempt status, please provide us with a copy of your Tax-Exempt Certificate. Sales tax will be charged if the certificate is not provided. * Shipping & Handling
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subtotal | ..................... | ||||||||||||||||||
| sales tax * | ||||||||||||||||||||
| s & h ** | ||||||||||||||||||||
| total | ||||||||||||||||||||
| Prices and product availability subject
to change SWWS02ER |
FAX ORDERS TO: 317-579-0401 |
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MAIL TO:
Sesame Workshop Educational Resources PO Box 55742 Indianapolis, IN 46205-0742 |