logo SHD      
 

 ORDER FORM - Bulk

Quantity
(order in quantities of 25)		 Price per booklet
(based on total booklets ordered)		 Total
Finding Your Way booklet         
# English:  
# Spanish:  
Total # FYW Booklets:  		 25-100 booklets: 45¢ each
125-1000 booklets: 40¢ each
1025-2500 booklets: 30¢ each
2525 or more: 25¢ each

$  
Mrs. Lee's Story booklet         
# Chinese/English:  		 25-100 booklets: $1.00 each
125 or more: 80¢ each
$  
  Booklets Total $  
 
Shipping Charges    
Booklets Total   Shipping cost
up to $50.00   $6.00 Calif. residents add 7.75% sales tax $
$51 to $100   $10.00 Shipping (see chart) $
$101 to $200   $15.00 For out-of-state orders, add $2.00 $
$201 to $300   $20.00    
More than $300   Contact SHD Total Amount Due $
 
  Shipping Information
Organization:
Contact person: Dept.:
Phone: Email:
Shipping Address (no PO box):
City: State: Zip:
 
  Billing Information     Same as Above
Contact person: Dept.:
Billing Address:
City: State: Zip:
PO #: For PO's, fax this form to (916 851-2818.

To order, complete and print this form.
Send with your check (made payable to SHD) to:
Sacramento Heathcare Decisions
3400 Data Drive
Rancho Cordova, CA 95670
Please allow two weeks for delivery.
If a rush order is needed, contact SHD at (916) 851-2828 to make arrangements.
 
Home