Carrier University

Literature Order Form

Payment Method:
Check Enclosed Fax this form to 860-660-6087 or
VISA MasterCard AMEX Security Code: Mail to:
Print Card Number Below: Expiration Date: Carrier University
PO Box 4808 / TC-1
Print Name As It Appears On Card: Syracuse, New York 13221-4808

Billing Address: Ship To Address

Company Name: Company Name:

Attn: Attn:

Street: Street: CANNOT SHIP TO PO BOXES

City/State/Zip City/State/Zip
Phone: Phone:

Email: Email:

Order Date: Date Required: PO Number:

Special Instructions:
Qty Extended
Item Ordered Catalog No. Description Unit Price Price
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Ground Freight is prepaid and allowed. Subtotal

Air Shipments: Cost will be equally divided Minimum Order
amongst all items on the order. Please call Amount $10.00
800-644-5544 Option 2 for final costs. Sales Tax

If you are tax exempt, please enclose a Tax- Exemption Certificate. Total

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