Parent’s Video Guide to Speech Development: Order Form

To order the Parent's Video Guide to Speech Development, please print this page, complete the order form, and mail to the address below. Orders are by mail only.

CUSTOMER INFORMATION:

Name: _____________________________________________________________

Address: ___________________________________________________________

City: ___________________________ State: _____________ Zip: ___________

E-Mail: ________________________________ Phone: _____________________

Fax: ___________________________________

SHIPPING INFORMATION: (If different from Customer Information)

Name: __________________________________________________________

Address: ________________________________________________________

City: ____________________________ State: ___________ Zip: _________

Item	Unit Price	Quantity	Total
DVD Parent’s Guide to Speech Development	$34.95
VIDEOTAPE Parent’s Guide to Speech Development	$34.95
MO Residents add 7.225% Sales Tax
Shipping & Handling Charge (see table below)
TOTAL AMOUNT

SHIPPING & HANDLING
The following amount must be added to your order for each delivery address
QUANTITY	ADD	ORDERING INFORMATION
1-2	$4.95	Mail-order payment must be made by check,
3-5	$6.95	purchase order, or money order made payable to:
6-10	$9.95	Archer/Pankratz Video
11-15	$15.95	P.O. Box 240112
		Ballwin, MO 63024-0112

For shipping amounts on quantities
over 15 or for orders outside the
U.S., please E-Mail us for a quote at:

ArcherPankratz @ yahoo.com

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