Essential Elements of Quality - Best Practices Materials
Order Form

 

To: Training and Technical Assistance Program                  Date: _________________
 
Attention: Bellamie DeHerrera-Mason
San Juan College
4601 College Blvd.
Farmington, NM 87402
(505) 566-3825 FAX (505)566-3826


FROM: Name of Organization:

Contact Person:

Address:

Phone:


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Quantity Needed

Materials Requested

Cost/Unit

Total Cost

Date Needed

 

Best Practices Manual

$30.00

   
 

Self Assessment Tool

$ 7.50

   
 

Best Practices Video

$ 5.00

   
 

Set of All Three of the Above

$40.00

   

Shipping and Handling 15% of total order

(Request for special handling will be charged at actual expense.)

$

 

TOTAL

$

 

MUST HAVE AT LEAST 4 WORKING DAYS NOTICE!

SHIP TO:
(If different from above address:)  
FOR SHIPPING PURPOSES, WE MUST HAVE STREET ADDRESS -- NOT P.O. BOX

Name 

Address:

Phone:


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No personal checks can be accepted. Business checks, purchase orders, money orders or certified checks are acceptable. Thanks for your order. Make checks payable to:
San Juan College - Best Practices

Order Processed by: ______________________________________________________
Date Shipped:  ___________________________________________________________