Wise Guys: Curriculum Order Form

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CURRICULUM ORDER FORM

Please complete the fields of information below. We will process your order immediately, however, we are not able to ship any product until payment has been received. If at any time you have questions or need assistance, please feel free to contact us at 336-333-6890 ext. 232.

Ordered by:

Name:

Organization:

Mailing Address:

Phone: Ext:

Bill to (if different from Ordered by):

Payment Options:

Ship to (if different address):

Attention:

Address:

PO# / Reference Info:

Please ship our order via:

Curricula are priced individually. We offer a discount for additional copies of the
curricula and for professionals attending WiseGuys training programs.

QTY.	DESCRIPTION	UNIT PRICE	TOTAL
	Wise Guys Curriculum^©: Level I (initial copy)	$ 150.00
	(discounted for each additional copy)	$ 120.00
	Wise Guys Curriculum^©: The Next Level (initial copy)	$ 175.00
	(discounted for each additional copy)	$ 140.00
	Wise Guys Curriculum^©: Jóvenes Sabios (initial copy)	$ 150.00
	(discounted for each additional copy)	$ 120.00
	Wise Guys advertising video	$ 150.00
		SUBTOTAL
		FOR N.C. RESIDENTS ADD 6.75% SALES TAX
		*SHIPPING $6 per manual
		**HANDLING	$10.00
		***TOTAL DUE

* Shipping costs are estimated at $6.00 per curricula.
Additional fees may apply if choosing expedited shipping.

** Include one $10 handling fee per order.

*** Order will be shipped upon receipt of payment.

Please make checks payable to: Family Life Council

     301 E. Washington St
     Suite 204
     Greensboro, NC 27401
     Attn: Cynthia Blackmon

THANK YOU FOR YOUR ORDER!