ORDER FORM for Website Customers
 

Federal Tax ID #: 68-0075155

Order by Fax Toll-Free: 1-800-642-2791 Order by Phone Toll-Free: 1-800-733-0671 Order by Mail:                  GREYSTONE EDUCATIONAL MATERIALS                   P.O. BOX 86, SCANDIA, MN 55073-0086

BILL TO: (Required) School/ Institution_________________________________ Attention: ACCOUNTS PAYABLE Address/P.O. Box___________________________ City__________________ State_____Zip________ Contact Person_____________________________ Phone(____)_______________________________

SHIP TO: (Required) School/ Institution___________________________________ Attention: ___________________________________ Address/P.O. Box_____________________________ City__________________ State_____Zip__________ Contact Person_______________________________ Phone(____)_________________________________

METHOD OF PAYMENT You must check ONE box: Purchase Order #:____________________ Check Enclosed  VISA   MasterCard                                                                                                                     Expiration Date Credit Card #                                                                                                 (MM/YY)           Signature:           /   ________________________

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