2012 New Releases Catalogue October - Learningemall.com
2012 New Releases Catalogue October - Learningemall.com
2012 New Releases Catalogue October - Learningemall.com
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Ref: WNEW1210<br />
ORDER FORM<br />
P.O. Number:<br />
Bill To<br />
Institution<br />
Department<br />
Address<br />
P.O. Date:<br />
Deliver To (If Different)<br />
Institution<br />
Department<br />
Address<br />
Country<br />
Phone No.<br />
Fax No.<br />
Email<br />
Contact Name<br />
Country<br />
Phone No.<br />
Fax No.<br />
Email<br />
Contact Name<br />
Order No. Title Quantity Unit Price Amount<br />
*Applicable taxes and shipping & handling are extra.<br />
Total:<br />
Payment Method (*Please tick the appropriate boxes)<br />
I enclose a cheque payment of $<br />
I authorise you to debit my credit card the sum of $<br />
(Payable to Learning Rendezvous Ltd.)<br />
Visa Master<br />
Card No. / / / Expiry /<br />
Name on card:<br />
Signature<br />
Approved & Authorized by:<br />
Name:<br />
Signature:<br />
LEARNING RENDEZVOUS LTD.<br />
Email: order@learningemall.<strong>com</strong> http://www.learningemall.<strong>com</strong>