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Order Form

Prices current through March 31, 2008.

To order Institute products, please print this form and send with a check or a purchase order payable to University of Minnesota (tax ID # 416007513) at: Publications Office, Institute on Community Integration, University of Minnesota, 109 Pattee Hall, 150 Pillsbury Dr. SE, Minneapolis, MN 55455. Orders for free items may be phoned to (612) 624-4512 or faxed to (612) 624-9344. Orders cannot be taken electronically. Note: This form may print in two pages.

Publication (please print or type title fully):
Price per copy
Quantity
Total price
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Publications Total
$ __________
Sales Tax (Minnesota only. Does not apply if tax-exempt. See note below for rates*)
$ __________
TOTAL
$ __________

Purchase Order/Check Number: _____________________________

Orders must be accompanied by purchase order or check payable to University of Minnesota (tax ID # 416007513). We reserve the right to limit quantities on complimentary items. Prices include shipping within the U.S. (by Media Mail); for information on other shipping options and costs, contact the Publications Office. Tax-exempt Minnesota organizations: Please provide copy of exemption certificate if first time ordering.

Name ________________________________ Phone _____________

Agency___________________________________________________

Address__________________________________________________

City_________________________ State _______ Zip______________

*Minnesota Sales Tax Rates: Minneapolis = 7.15%.

Hennepin County outside Minneapolis = 6.65%.

Albert Lea, Austin, Baxter, Bemidji, Brainerd, Hermantown, Mankato, New Ulm, Owatonna, Proctor, Rochester, St. Augusta, St. Cloud, St. Joseph, St. Paul, Sartell, Sauk Rapids, Two Harbors, Waite Park, Willmar = 7%.

Duluth and Cook County = 7.5%.

Elsewhere in Minnesota = 6.5%.

 

End of Order Form

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The University of Minnesota

Institute on Community Integration
University of Minnesota
102 Pattee Hall, 150 Pillsbury Drive SE
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612-624-6300 (phone)
612-624-9344 (fax)

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