School Mediation Associates Order FormThis form is not for ordering on line. Print the form out, fill it in, and post it back to us. Or you can order books by phone by calling us toll free at 800-833-3318. Please Send: |
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| ___ | copies of The School Mediator's Field Guide at $29.95 per copy | ______ |
| ___ | copies of Students Resolving Conflict at $29.95 per copy | ______ |
| ___ | copies of Mediation: An Alternative That Works Video at $29.95 Please circle your preferred video format, DVD or VHS tape |
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| ___ | Information about School Mediation Associates | _Free_ |
| Subtotal: | ______ | |
| Sales Tax: Please add 5% for books shipped to Massachusetts addresses |
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Shipping: Within the United States: $4.50 for first book/video; $2.50 for each additional book/video |
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Outside the United States: Postage costs and currency exchange fees vary widely (and are often quite expensive). Contact us at sma@schoolmediation.com for more information. |
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| Total: | ______ | |
| (All orders should be paid in US dollars.) | ||
| Payment (check one): | ||
| ___ | Check enclosed (Made out to "School Mediation Associates") | |
| ___ | Bill my school (must include PO #) PO #: ______________ | |
| ___ | MasterCard | |
| ___ | Visa | |
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Credit Card #: _________________________ Expiration Date: __________ Cardholder's Signature: ____________________________ |
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| Name: __________________________________________________________ | ||
| School Name: ____________________________________________________ | ||
| Address (home or school): _________________________________________ | ||
| City: ________________________________ State: _____ Zip: _________ | ||
| Telephone: ________________________ | ||
| Email: __________________________________________________________ | ||
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I would like to receive The School Mediator, a free monthly EMAIL newsletter ______ (We need your EMAIL address in order to send the newsletter to you!) |
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| How did you first learn about our materials: _____________________________________ | ||