Order Form Qty Item No. Product


Non-Member Price


APSP Member Price


Amount


Subtotal


Virginia Sales Tax (6% for Virginia shipping addresses) (Shipping will be charged at current UPS rates + handling) Total


Nae ______________________________ a ___________________________________________ hii Aess __________________________________________________________________________ i ________________________________ae _______  ____________  _________________ he Ne ________________________________________a Ne _________________________ ai __________________________________________________________________________________


Payment method (check one) q he ese aae  A i .. as  $_________________ a A ee eies a 703.838.0083  shii a hai ss q hae   q asea q isa q A q ise


a Ne _____________________________________________________________ . ae ___________________ ____ ahes Nae ______________________________________________________________________________________________ iae ______________________________________________________________________________________________________


4 Ways to Order: 1. e ie a A./e 2. ai ih ae A 2111 isehe Ae. e 500 Aeaia A 2231 3. a A ee eies a eeseiesas.  a 703.838.0083 e. 301 . a 703.59.093


APSP.org • The Assia    a essias • 703.838.0083


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ORDER FORM


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