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Ship to: Bill To:

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Zip code: Zip code:

Phone #: Phone #:

Email Address:

Purchase Order #:

Charge to: Visa __________ MasterCard __________ American Express __________ Discover __________

Name on credit card _________________________________________________________________________

Credit Card number __________________________________________________________________________

CCV# (security code) _____________________________________ Exp. Date____________________________

Shipping Information:

UPS Ground__________ UPS Next Day __________ UPS 2nd Day __________ UPS 3 Day __________

Coupon or Source Code: ___________

ISBN TITLE QTY PRICE TOTAL

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Shipping:

Products will ship UPS Ground unless otherwise noted on your purchase order. Please note shipping is determined by the weight and location the order is shipped to. Please call customer service for shipping quotes. 1-800-832-0034 ext.8197

Sales Tax:

Please state tax exempt status. State sales tax and GST will be applied, unless your tax exempt certificate is submitted with your order. GST also applies (in Canada).

Address:

Jones & Bartlett Learning

5 Wall Street

Burlington, MA 01803

FX: 978-443-8000, PH: 800-832-0034.

FED ID# 26-1472540

*Please note all prices are subject to change.

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Jones & Bartlett Learning

5 Wall Street

Burlington, MA 01803

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