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Order Form
Address Information
Email link: info@synergylearning.org

Order Form

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.

Quantity Item No. Description Weight
(lbs)
Price Amount
1235 Small Spools (50) 0.85 $4.50
1201 Dowels (20 pack) 0.85 $2.00
Sub Total:
Sales Tax (6% Vt Only, enter 0 for none)
Shipping (See chart below):
Total:

Shipping and Billing Information

Shipping and Handling
Use weights listed above (weight is
for one item) to calculate
shipping charges below.
1 lb $4.00 6 lb $13.00
2 lbs 6.00 7 lb 14.00
3 lbs 8.00 8 lb 16.00
4 lbs 10.00 9 lb 18.00
5 lbs 12.00 10 lb 19.00
For shipments outside
the U.S., please call
Payment in U.S. Dollars

First Name:

Last Name:

Organization:

Address:

City:

State: Zip:

Phone:

E-mail:

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


-or-

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

 

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