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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 (U.S. Only): Subtotal ____________
Minimum Charge........... $15.00

Shipping charges vary by weight of package so call for cost. For orders outside of U.S. or for Express Delivery, call for cost.

Shipping (Table at Left) ______________
   

Subtotal

______________
    Sales Tax (WI Only) ______________
    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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