Print this form and mail or fax it to us, or call us as indicated at the end of this page.
Name__________________________________________
Company_______________________________________
If this is being sent to your work
address
Address________________________________________
City_________________________State______Zip______________
Country______________________
Tel. No. ___________________________ e-mail______________________________
Payment Information: Check_____ (International orders: credit cards only)
Credit Card (MC/VISA/AMEX/DISC) No.___________________________________ Exp Date______ CVV _______
Signature________________________________
| Item No. | Description | Qty | Price | Total |
| Subtotal | ||||
| Shipping & Handling (see table below) Free shipping & handling on orders of $201 or more, except international orders |
||||
| MD Residents add 6% sales tax | ||||
| Total |
Shipping & Handling Charge
| Order Amount | Order Amount |
| $100 or less add $7.00 | $201 to $250 add $16.00 |
| $101 to $150 add $10.00 | $251 to $300 add $19.00 |
| $151 to $200 add $13.00 | $301 to $350 add $22.00 |
| $351 to $400 add $25.00 | |
| Canada S&H x 2 | Foreign overseas S&H x 4 |
| Overnight shipping available, ask for rates. | |
by mail: send completed form with check or credit card number to:
Wolf Rinke Associates, Inc.
13621 Gilbride Lane
Clarksville, MD 21029-1019, USA
by phone: 410-531-9280 or 800-828-9653 (USA & Canada)
by fax: Credit Card Orders only: fax completed form to 410-531-9282
or click here to contact us if you have questions regarding our products.
For more information click below:
CE Home Page, Nutrition, Management, Professional Development,