Educational Assessment Service

W6050 Apple Road
Watertown, WI 53098

Phone: 800-795-7466
Fax: 920-261-6622

To Order Dr. Sylvia Rimm's Books, Q-Cards, Tapes and Other Products
Call 800-795-7466 weekdays 8 AM - 4 PM (Central) with Credit Card or PO#,
Or Mail to Address Above, or Fax with Credit Card for Payment to 920-261-6622

Catalog No.
Description
Unit Price
Quantity
Total Price
         
         
         
         
         
         
         
         
         
SHIPPING AND HANDLING RATES (US Only): Subtotal ______________
Under $20 .................. $3.00*

*May ship via Media Mail; allow 7-10 days

If order is over $70, call to confirm shipping rates, as it may not cost 10%.

Shipping (Table at Left) ______________
$20 to $70 ................. $7.50

Subtotal

______________
$70 to $200 ............... 10% Sales Tax (WI Only) ______________
Over $200 ................. 5% Total Payable ______________
All foreign countries, call or e-mail for rate.  
Air service available at additional cost.  

SHIP TO:

Name:
Address:
City:   State: ZIP
Phone:

BILL TO (If different than shipping address):

Name:
Address:
City:   State: ZIP
Phone:
Payment Options

Check or Money Order
(US Funds):

Mailed with Order form to:

W6050 Apple Road
Watertown, WI 53098

No C.O.D.

Credit Card:
Order by Phone at 800-795-7466 or return by Mail or Fax to 920-261-6622

Card #:  
Expiration Date::   CVV Code (3 or 4 Digits of Card Back):  
Please Check the Card Type:
___VISA
___MasterCard
___American Express

Puchase Order (For Schools Only) :
Call with Order and PO# 800-795-7466 or send PO by Mail to the address above or Fax to 920-261-6622

We must receive notice of any problems within 30 days.
E-mail your questions, comments or requests for a catalog to:
info@sylviarimm.com

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