Synergy Learning - Connect: Subscription Order Form

I'd like to subscribe

Step 1: Enter your order, contact and shipping information
             Print and mail page if paying by check or P.O.

Step 2: Confirm order information

Step 3: Arrange payment via credit card or your Paypal account.
             Paypal is our secure credit card processor.

First Name:
Last Name:
Organization:
Address:

City:	State: Zip:
Country:
Phone:
*E-mail:**
	* This is the address that will be used for order confirmation and delivery of the PDF version of Connect, if you select that subscription type below.

What issue shall we begin your subscription with:

	Quantity	Unit Price	Total
1-year subscription to Connect (USA):		$28.00
Volume Discount: Five or more subscriptions to sent to the same address (1 Year/USA).		$24.00
2-year subscription (USA)		$51.00
1-year subscription to Connect(Canada and Mexico)		$35.00
2-year subscription (Canada and Mexico)		$63.00
Overseas subscription: Connect by Air Mail (1 year)		$49.00
PDF Version (1 year)		$20.00
Site license for PDF Version (1 year)		$160.00
Money Back Guarantee	Total Amount Due:

Click on the 'Next' button to submit your order and
pay by credit card.

-or-

Print out this completed order form and mail with your check or school purchase order to:: Synergy Learning; PO Box 60; Brattleboro, VT 05302