Order Form

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Prices current through August 30, 2017.

To order Institute products, please mail or fax this form to:

Publications Office, Institute on Community Integration, University of Minnesota,
109 Pattee Hall, 150 Pillsbury Dr. SE, Minneapolis, MN 55455
(612) 624-9344 (fax)

Payment by (please check one):

___ Check or Purchase Order (enclosed, payable to University of Minnesota, tax ID#416007513)

___ Credit Card (you will be invoiced by mail and pay invoice online with credit card/P-card)

Questions? Contact us at (612) 624-4512 (voice), icipub@umn.edu

Note: This form may print in two pages.

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

Purchase Order/Check Number: _____________________________
(Do not send credit card number)

Prices include shipping in the U.S. by Media Mail (typical delivery time 1-2 weeks); for information on rush shipping, contact the Publications Office. Tax-exempt Minnesota organizations: Please provide copy of exemption certificate if first time ordering. We reserve the right to limit quantities on complimentary items.

Name __________________________________________________________

Address _________________________________________________________

Address _________________________________________________________

City ________________________________ State _______ Zip ____________

E-mail _______________________________ Phone _____________________

*Minnesota Sales Tax Rates: Minneapolis = 7.775% • Hennepin County outside Minneapolis = 7.275% • St. Paul = 7.625% • Ramsey County outside St. Paul, as well as Anoka County, Dakota County, Washington County, and Olmstead County outside Rochester = 7.125% • Austin, Becker County, Belle Plaine, Beltrami County (outside Bemidji), Blue Earth County, Brown County, Carlton County, Cass County, Chisago County, Clearwater, Crow Wing County, Douglas County, Fillmore County, Freeborn County, Hubbard County, Hutchinson, Jordan, Lanesboro, Lyon County, North Mankato (Nicollet Co), Ottertail County, Owatonna, Park Rapids, Prior Lake, Proctor, Rice County, St. Augusta, St. Cloud, St. Joseph, St. Louis County, Sartell, Sauk Rapids, Savage, Scott County, Shakopee, Steele County, Todd County, Two Harbors, Wabasha County, Wadena County, Waite Park, Willmar, and Worthington = 7.375% • Albert Lea, Baxter, Bemidji, Brainerd, Cloquet, Cook County, Fergus Falls, Marshall, Mankato, Medford, New Ulm, North Mankato (Blue Earth Co), and Rochester = 7.875% • Duluth and Hermantown = 8.375% • Elsewhere in Minnesota = 6.875%.

End of Order Form