Course Materials Order Form

2211 West Street, River Grove, IL 60171
Customer Service: 1-800-222-1048
Email: follettexpress@follett.com

COURSE MATERIALS ORDER FORM

Order Toll Free: 1-800-222-1019	FAX Order: 1-800-222-0858
Hours: 7:00 am to 7:00 pm, Mon - Fri

If ordering by mail, fill out this form and send to: Follett Express Sales at address above.

Ship To (Via UPS):

Customer Name:
School Name (Very Important):

Street Address (Not a P.O. Box)*:
City:
State:
Zip:

Phone: Message Phone:

* NOTE: UPS WILL NOT SHIP TO POST OFFICE BOXES

METHOD OF PAYMENT
_____ Check/Money Order Enclosed, Payable to Follet Express

_____ Voucher Voucher Number:_______________

_____ Credit Card: ___MasterCard ___Visa ___Discover

Credit Card Number:________________ Expiration Date:______

Signature:___________________________

METHOD OF PAYMENT
_____	Check/Money Order Enclosed, Payable to Follet Express
_____	Voucher Voucher Number:_______________
_____	Credit Card: ___MasterCard ___Visa ___Discover
	Credit Card Number:________________ Expiration Date:______
	Signature:___________________________

COURSE MATERIALS NEEDED: (use the reverse side of this page for additional items)
Course Author Title Edition Quantity Amount

COURSE MATERIALS NEEDED: (use the reverse side of this page for additional items)
Course	Author	Title	Edition	Quantity	Amount

Subtotal Amount:	__________
Sales Tax:	__________
Shipping and Handling*:	__________
TOTAL:	__________

* Special handling available for an additional charge.

Customer Name:	School Name (Very Important):
Street Address (Not a P.O. Box)*:	City:	State:	Zip:
Phone:	Message Phone: