Print form, complete the blanks, then photocopy this form for your records.
ORDERING INFORMATION

IMPORTANT NOTE: These publications were prepared some time ago, but are still very timely.

Please review the contents in some depth as available before ordering.

Please send the following
TITLE (Click any title for descriptive information)			Quantity		Price	Total
On the CREST			______		$8.50	_______
Choice Awareness: A Systematic Cslg Theory			______		$14.50	_______
In the Land of Choice (elementary w/supplement)			______		$8.00	_______
The Magic of Choice (elementary w/supplement)			______		$8.00	_______
Incident at Crystal Lake (middle school w/supplement)			______		$8.00	_______
Travis and Trish (middle school w/supplement)			______		$8.00	_______
SHIPPING – With prepayment, for any size order = $4						_______
HANDLING CHARGE – Minimum of $6						_______
		SUBTOTAL				_______
MINNESOTA RESIDENTS -- unless sales tax exempt add 7% (SUBTOTAL x .07)						_______
		GRAND TOTAL				_______
Payment	enclosed _____			Please bill (See SHIPPING note			_______

Date ______________________Purchase order number ____________________________________
Name ____________________________________Title ____________________________________
School/Business __________________________________________________________________
Mailing Address __________________________________________________________________
City/State/ZIP ________________________________________________________________________
Area code, phone ____________________ Signature ____________________________________

Credit card name ________ Card number _______________________ Expiration date ____________

Send your order to:

Educational Media Corp. P. O. Box 21311 Minneapolis MN 55421

Print form, complete the blanks, then photocopy this form for your records.