Order Form

Please print and complete this form

ADDRESSES

SHIP to: Name__________________________________________________________________

                Department/Institution_____________________________________________________

                Address________________________________________________________________

                City_____________________________________State__________Zip Code_________

                Country____________________________________Phone (_____)_________________

BILL to: Name__________________________________________________________________

                Department/Institution_____________________________________________________

                Address_________________________________________________________________

                City______________________________________State_________Zip Code__________

Country____________________________________Phone (_____)__________________

Items Ordered

Item number          Item Description                                    Number Ordered        Unit Price         Total Price

________ _________________________________ _____________ ____________ ____________

________ _________________________________ _____________ ____________ ____________

________ _________________________________ _____________ ____________ ____________

________ _________________________________ _____________ ____________ ____________

________ _________________________________ _____________ ____________ ____________

________ _________________________________ _____________ ____________ ____________

                                                Add additional sheets if necessary

Item Total: Add total price for each item                         Item Total $ __________

If an exempt organization, list your Sales Tax Exempt Number ______________

Shipping: We ship 1st class mail unless otherwise requested.
Shipping by Federal Express available upon request.

Add the appropriate shipping and handling charge:

For U.S. and Canada,

for item total less than $20.00: add $3.00 plus 20% of item Total   $                           
for item total $20.00 to $39.99: add $4.00 plus 15% of item Total   $                            

for item Total $40.00 and over: add $5.00 plus 10% of item Total $                            
.........................................................Shipping and Handling Charges $                          

Total; Add Item Total, Sales Tax, and Shipping and handling Charges........Total $________

All other countries, please e-mail us for shipping and handling quotes.

Make check or money order payable to: University of Minnesota

                Or enclose an US Institutional Purchase Order or          Account Number______________

Payment or US Purchase Order must be included with order. 

All orders must be accompanied by a Qualification Form.

RETURNS

Unused materials (not including MIQ answer sheets) may be returned under some circumstances, subject to a 25% restocking charge. Permission must be received prior to returning materials.

Mail to:                                                 

Vocational Psychology Research

University of Minnesota
N612 Elliott Hall
75 East River Road
Minneapolis MN 55455-0344

Phone 612-625-1367
Fax 612-626-0345
e-mail to: vpr@umn.edu

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