IRI - 24th Issue "People with Disabilities Developing Self-Employment and Small Business Opportunities"

 Special Sale  ORDER FORM

Please print and complete ORDER FORM then mail or fax to 501-624-6250. Purchases by check, credit card or agency Purchase Order

Name:______________________________________________________________

Name of Organization:_______________________________________________________

 Address: ___________________________________________________________________

 Phone: _________________Contact Person:____________________________

(Regular price: $15.00 each)

Special Sale Prices

$7.00 ea   -   3 copies for $15.00   -   5 copies for $25.00 plus shipping

(Note: Special bulk rates of 20 + copies will be available upon request at a discounted price. Contact the Region 6 RCEP at the address/phone/email below for discounted shipping rates.)

# Copies Ordered:__________ Total Due:__________

Purchase Order (PO) or Check Number :____________________________________________________________

Credit Card #:_____________________Expiration Date:_______________________________________________

Signature:_____________________________________________________________________________________

University of Arkansas EIN Tax ID #71-6003252    

Make checks payable to: University of Arkansas - RRCEP

Address

University of Arkansas - RRCEP

Region VI - Rehabilitation Continuing Education Center

P.O. Box 1358, 105 Reserve, Bldg. #35

Hot Springs, AR 71902

Voice (501) 623-7700 - FAX (501) 624-6250 - TDD (501) 624-0079

For questions or inquires call the Region 6 RCEP or link here to e-mail at: jparker@rcep6.org

 

Link back to Region 6 RCEP Publications

Link to Region 6 RCEP Home Page Site Map


End of Order Form