Department of Administrative Services
ORDER FORM FOR EDUCATIONAL DIRECTORY
DIRECTIONS: Fill in your contact information, the quantity and check if you are tax exempt or not. Your total will appear below. Then print this page and mail to the address at the bottom with your payment.
| DATE: |
| NAME: |
| ADDRESS: |
| CITY: STATE: ZIP: |
| Amount Received: | Ck #: | Cash: |
Please print then 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. Thank you!
