| Number | Title | Regular Price |
Member Price |
Quantity | Subtotal |
| Subtotal |
SHIPPING AND HANDLING CHARGES
|
TOTAL
|
CHARGE
|
|
Up to $19.99
|
$4.00
|
|
$20.00-$49.99
|
$6.00
|
|
$50.00-$99.00
|
$8.00
|
|
$100.00-$149.99
|
$9.50
|
|
$150.00-$199.99
|
$10.50
|
|
$200.00 or more
|
6% of net order
|
TOTAL CHARGES $_______
Print out and send this form to: ALTA, American Library Association, 50 East Huron Street, Chicago, IL 60611. Or FAX to 312.280.2161, ATTN: Gretchen Kalwinski.
SHIPPING INFORMATION
______________________________________________________
Name
______________________________________________________
Organization
______________________________________________________
Street Address
______________________________________________________
City, State, Zip
(____) ____-_______
Phone
__________________
Email
METHOD OF PAYMENT
• Check or money order is enclosed
• Charge to VISA
• Charge to MC
• Charge to AMEX
__________________________________
Account Number
___________________
Expiration Date
__________________________________
Signature
Payment must accompany all orders. Please make checks payable to the Association for Library Trustees and Advocates.