ORDER FORM
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MAIL:
Marcy Mathworks • 11664 National Blvd. • PMB 330 • Los Angeles, CA 90064
FAX:
(310) 398-5893

Please ship to:
(Leave "school" blank if we're not shipping to a school.)
Please bill to:
(if different from "ship to")

Name:
_____________________________________

Name:
 _______________________________________
School:
_____________________________________
School:
_______________________________________
Address:
_____________________________________
Address:
_______________________________________
City/State/Zip:
_____________________________________
City/State/Zip:
_______________________________________
Phone:
_____________________________________
Phone:
_______________________________________

Method of Payment:
Individuals: Schools and Institutions:
|__|
Check or money order is enclosed.
|__|
Please bill. Signed P.O. # _________ is attached
|__|
Please charge my credit card (circle one):

VISA • Mastercard
Account number: Expiration Date:
|__|__|__|__| |__|__|__|__| |__|__|__|__| |__|__|__|__| |__|__| Month |__|__| Year

Signature (required): ___________________________

Order: (You may return if not satisfied--no hassles!)
____ copies of PUNCHLINE Algebra Set • Books A and B
@ $89.95 ea: ___________
____ copies of PUNCHLINE Algebra • Book A
 @ $46.95 ea: ___________
____ copies of PUNCHLINE Algebra • Book B
 @ $46.95 ea: ___________
____ copies of PUNCHLINE Bridge to Algebra • 2nd Ed.
 @ $54.95 ea: ___________
____ copies of PUNCHLINE Problem Solving • 2nd Ed.
 @ $46.95 ea: ___________
____ copies of Mathimagination • new edition
 @ $54.95 ea: ___________
California residents add applicable sales tax:
___________
Shipping & Handling (10% of order):
___________
TOTAL:
___________


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