Order Form
 If you wish, use either your institution's purchase order form or print out this form and fax or mail it to us. Please use a street address or building address; UPS will not deliver to a box number.  We are pleased to offer a discount of 10 percent of the subtotal when 3 or more titles are ordered at one time (subject to promotions).  We regret that this discount does not apply to stone tool kits or the videotape.

BILL TO:

SHIP TO:
Name,Title: Name,Title:
Department: Department:
Institution/Company Institution/Company:
Street Street
City, State, Zip (Country): City, State, Zip (Country):
Telephone: Telephone:
Purchase Order  Number E-mail address
QTY TITLE       (see "How to Order" for listing of products.) 
                    Please specify slides or CD Roms.		 PRICE TOTAL
       
       
       
       
       
       
       
       
       
Subtotal  
Deduct 10% of subtotal for orders of 3 or more titles*  
Domestic shipping/handling--$10 first title, $4 per additional titles (volume orders call for lower rates),
$15 shipping/handling Tool Kit 1 and $10 Tool Kit 2.
For foreign orders we will add the cost of shipping and handling to your bill. Please see "How to Order."		  
Total  

_____ Check or money order in U.S. funds, payable through a U.S. bank. _____  AMEX _____ VISA     _____Master Card

________________________________  _________________        _____________________________________________ 
Number                                                                       Expiration date                                                  Signature
Orders and inquiries may be sent to: Pictures of Record, Inc., 119 Kettle Creek Road, Weston, CT 06883, U.S.A., Telephone: (203) 227-3387               Fax: (203) 222-9673
e-mail (for correspondence): mail to picturesofrecord@aol.com
Home Page