CHALK HILLS EDUCATIONAL RESOURCES
ORDER FORM
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Schools: Purchase Order Number:_________________
Individuals: Send check or
money order, or pay by credit card. In
TX, add 7.25% tax
Shipping: Orders less than $75 (or test bank cd)...................... $ 9.00
Orders greater than $75....................................... $ 14.00
TOTAL
COST: _______________
Ship to:____________________________ Bill to: _____________________________
__________________________________
___________________________________
__________________________________
___________________________________
__________________________________
___________________________________
Credit Card Orders: Check one: ___MC ___ Visa
Card Number:__________________________________
Expiration date: (mo/yr) ____/____
Name on card:__________________________________
Address:_______________________________________
______________________________________________
CVV # (3 digit number from back of card) : __________
Fax your P.O. and this form to (254) 857-4530 or
email to: orders@chalkhills.com Phone (254) 717-7538
Mail To: Chalk Hills Educational Resources,