Adult Basic Education & ESL Resources - Grass Roots Press

2012 Order Form
Fax or mail this order form or a purchase order to:
BILL TO
ORGANIZATION
NAME
POSITION
ADDRESS
CITY
POSTAL CODE/ZIP CODE
TELEPHONE ( )
FAX ( )
EMAIL
Grass Roots Press
6520 - 82 Avenue
Edmonton AB T6B 0E7
Fax: 780-413-6582
Questions?
Call toll-free: 1-888-303-3213 or
Prices are subject to change. email: info@grassrootsbooks.net
SHIP TO (if different from billing address)
ORGANIZATION
Order Total
Shipping & handling
Sub-total
GST (5% of Sub-total)
TOTAL
48 Order online at www.grassrootsbooks.net
Order by fax at 1-780-413-6582
NAME
POSITION
ADDRESS
POSTAL CODE/ZIP CODE
TELEPHONE ( )
FAX ( )
EMAIL
TITLE ORDER # QTY PRICE TOTAL
METHOD OF PAYMENT
PROV/
STATE
CITY
SHIPPING AND HANDLING CHARGES
$0 - $11.01 $25.01 $75.01 $100.01 $200.01
$11 - $25 - $75 - $100 - $200 - up
Canada $5.00 $9.95 $12.95 $14.95 $17.95 10%
US $7.00 $12.95 $14.95 $16.95 $19.95 12%
* For remote areas, additional shipping charges might apply. Call for details.
Please invoice me. Purchase Order #
Cheque enclosed (made payable to Grass Roots Press)
VISA
Credit card number:
Card expiry date:
Full name on card:
Signature:
MASTERCARD
PROV/
STATE
Orders from individuals, or from outside North America,
must be prepaid. Postage varies for international
shipments. Please email us for prices.
Canadian orders are paid in Canadian funds.
US and international orders are paid in US funds.