Order Form
Prices subject to change without prior notice
Item Number Description Quantity Unit Price Price
         
Quantity Prices
Quantity discounts are available for most titles. Call 800-235-8722 for more information.
Resource Member or Trade Discounts will be calculated on final bill.
Prepayment and shipping & handling information
Prepayment: All initial orders must be prepaid. After initial order is placed, only subsequent orders of merchandise inder $50.00 (after tax) must be paid at the time the order is placed.
Prepaid Domestic Orders (Within the United States)
Paid by Check or Money Order
Orders up to $29.99:$6.00
Orders $30.00 - $49.99:20% of the subtotal
Orders $50.00 - $99.99:15% of the subtotal
Orders $100.00 - $249.99:12% of the subtotal
Orders $250.00 - $499.99:10% of the subtotal
Orders $500.00 or more:5% of the subtotal
Paid by Credit Card or Billed Actual shipping and handling costs will be listed to the invoice.
Sub Total:
Shipping and Handling
Tax(DC/NY residents only):
Please enter tax information (Details)
 
TOTAL AMOUNT DUE:
Mail or fax this form with payment to:
USCCB Publishing
3211 Fourth Street NE
Washington, DC 20017-1194
Fax 202-722-8709 or call 800-235-8722
Customer Information
Customer Number*
Name
Title
Organization
Department
Address
City
State
ZIP
Country
(For customers in Canada)
Daytime Phone
Email Address
 Yes. I would like to receive information about other USCCB resources by email.
*Look for your customer number on your mailing label above your name.
Payment Method
Check/money order (U.S. dollars) payable to USCCB Publishing
Bill me (order must total $50.00 or more)
Charge my credit card:
 Mastercard  VISA
Credit Card Number
Expiration Date
/
Name of Cardholder
Cardholder’s Signature