MN customers in Anoka, Dakota, Hennepin, Ramsey and Washington counties please add 7.125% sales tax to handbook and binder orders.  All other MN customers add 6.875% sales tax.

Please provide the following contact/user information. (Note: The following information is required):
Item State Quantity
Handbook(s) With binder(s).
Handbook(s) WITHOUT binder(s).
Binder(s) only.
eBook(s)


Billing Information
Email:
Company:
Contact Person:
Address:
Address2:
City:
State:
Zip Code:
Phone Number:
Fax Number:

Shipping Information (if different from billing)
Company:
Contact Person:
Address:
Address2:
City:
State:
Zip/Postal Code:
Phone Number:
Fax Number:
 


Please bill me for this order, plus postage and handling charges. Yes
OR I will pay now for free shipping and handling
Payment by check: Yes  No
Print this form, enclose a prepayment check for $________ and mail it to Mariposa Publishing.  (MN customers in Anoka, Dakota, Hennepin, Ramsey and Washington counties please add 7.775% sales tax to handbook and binder orders.  All other MN customers add 6.875% sales tax unless exempt.).

Payment by credit card: Yes  No

** Please make sure the billing address above matches the credit card billing address your bank has or the card will not go through.

Credit Card:
Card Number:
Expiration Date:
Cardholder Name:
Comments: