
ORDER FORM FOR EDUCATIONAL DIRECTORY
| DATE: |
| NAME: |
| ADDRESS: |
| CITY:STATE: ZIP: |
| Description | Quantity | Unit Cost Tax Exempt $11.50 |
Unit Cost Taxable $12.19 |
Total Cost |
| 2007-2008 Educational Directory | ||||
| TOTAL PAYMENT: |
| Amount Received: | Ck #: | Cash: |
PUBLICATION SALES
Mail to:
Customer Service Center
Department of Administrative Services
Hoover State Office Building, Level A
1305 E Walnut
Des Moines, Iowa 50319
Please make checks payable to:
Department of Administrative Services
We do not accept purchase orders.
For Questions Please Call: 515-242-5120 or Fax: 515-242-5974
Please print then mail or fax to the Customer Service Center