Order Form


 

Billing Information:
First Name:
Last Name:
Organization:
Address 1:
Address 2:
City:
State/Province:
Zip:
Country:
Email:
Phone Number
(xxx) xxx-xxxx:
( ) -
 
Mark if Billing information is the same as shipping information. Repeat this procedure if you changed any billing info.
Fill-in only if shipping information is different from billing information:
Shipping information:
First Name:
Last Name:
Organization:
Address 1:
Address 2:
City:
State/Province:
Zip:
Country:
Email:


Special Instructions

Book Prices and Shipping Costs

AICE only accepts orders in case lots (40 books/case)

Number of Cases
(40 books per case)
Cost per book
1
$10.00
2
$8.00
3-12
$5.00
13-24
$4.00
25-59
$3.50
60+
$3.00
Shipping & Handling: $18.50/case
Check here if nonprofit
Tax ID number (Enter without spaces/dashes)  

 ***   Order   ***

  Quantity of Cases
Price Per Case
Total

  $ $
    Shipping & Handling: $

  Total Cost: $

Pay by Credit Card M/C VISA AMEX
Name on Card:
Credit Card Number:
(Enter without spaces/dashes)
Credit Card Expiry Date: