National Board Reprints Part I & II Bulk Order Form 2015 Shipping Address: (Please type or print clearly) Last Name First Name Middle Initial Title School (ASDA cannot ship to P.O. Boxes) Street Address City State Daytime Phone Number Email Address Part I Quantity/Price per set (10-24) $243 (25-49) $230 (50-99) $216 (100+) $203 Part II Quantity/Price per set (10-24) $170 (25-50) $161 (50-99) $151 (100+) $142 Apartment Number Zip Code Savings of 10% Discount 15% Discount 20% Discount 25% Discount Call for shipping quote Order Information: National Board Reprints Part I Set (G-N) National Board Reprints Part II Set (J-M) Cost Per Set Quantity Total Amount $ ______ ______ ______ $ ______ ______ ______ Shipping will be calculated based on the weight of each order. Please call the central office for a shipping quote 312-440-7603 ______ TOTAL ______ * Full payment must be received before orders are shipped. Shipping may take 5-7 business days. Orders must be shipped to one address and will require a signature. * Only one method of payment is accepted for each order. Part I & Part II cannot be combined for quantity discount. Bulk orders are not accepted online. *National Board Reprints are prohibited from copying or reselling. Payment Method (check one box that applies): □ Check/Money Order (Mail checks with this form to: ASDA, 211 E Chicago Ave, Ste 700, Chicago, IL 60611) Credit Card Number Exp. Date (MM/YY) Signature K:\Employee Documents\Ellen\NBRs\2015 NBR Bulk Order Form-REVISED.docx □ VISA/Mastercard Fax or e-mail order form to Ellen Ryan at 312-440-2820 or [email protected] K:\Employee Documents\Ellen\NBRs\2015 NBR Bulk Order Form-REVISED.docx
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