Adventist Women's Center : Order form

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Order form

~WRC’s ORDER FORM ~

For large orders, please make extra copies of this page.

Order as Last name of presenter and abbreviated title – (see last line of item description in catalog)	Type of media? Only media listed in description available	Cost per Item	How many of each?	Cost x number of this item ordered	Use only United States currency or credit cards. Thank you.
		US$		US$
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Shipping & Handling (See below)				US$
TOTAL				US$

*Shipping and Handling within US: US$3 for orders $5-20, US$6 for orders US$20-$50, US$10 for all orders over US$50.

Shipping and Handling rates outside of US: inquire: wrc@lasierra.edu or 951-785-2470

To pay with credit card, please supply the following information:

YOUR NAME EXACTLY AS PRINTED ON CARD

TYPE OF CREDIT CARD (VISA, MC, etc.)

EXP. DATE: MONTH/YEAR ACCOUNT #

SIGNATURE TODAY’S DATE

OR make check payable to: “La Sierra University – WRC” and mail to

Women’s Resource Center - La Sierra University

4500 Riverwalk Parkway

Riverside, CA 92515 WRC Phone: 951-785-2470

MAIL PURCHASED ITEMS TO:

NAME PHONE:

ADDRESS E-MAIL: