Wise Guys: Curriculum Order

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Family Life Council A Division of Children's Home Society of NC 301 E. Washington St., Ste. 204 Greensboro, NC 27401 Ph. 336-333-6890 Fax: 336-333-6891 info@chsnc.org

ORDER FORM

Family Life Council, A Division of the Children's Home Society of NC
301 E. Washington St., Ste. 204, Greensboro, NC 27401

To place an order:

Ph.: 336-333-6890 x221 Cynthia

Email: cmcswain@chsnc.org

Date:

Order #:

Bill To
Name:

Organization:

Mailing Address:

City:

State

Zip

Phone:

Email:

Ship To (if different from Billing)

Name:

Organization:

Mailing Address:

City:

State

Zip

Phone:

Email:

Please make check payable to Children's Home Society of NC

Mail check to: 301 E. Washington St., Ste. 202, Greensboro, NC 27401

Call 336-333-6890 x 221 to pay by credit card

Fax your Purchase Order to 336-333-6891

Terms: Will ship upon receipt of payment

Item		Unit Price	Quantity	Total
Wise Guys Curriculum: Level 1 (Males 11-17 years old)	Initial Copy Additional Copy	$150.00 $120.00

Wise Guys Curriculum: The Next Level (Males 18-29 and older)	Initial Copy Additional Copy	$175.00 $140.00

Wise Guys Curriculum: Jóvenes Sabios (Males 11-17 years old, Manual in Spanish)	Initial Copy Additional Copy	$150.00 $120.00

Wise Guys Curriculum: Jóvenes Sabias, Supplement (Females 11-17 years old, Supplement in Spanish)		$35.00

Wise Guys Curriculum: Jóvenes Sabias, Supplement AND Wise Guys Curriculum: Jóvenes Sabios	Combined	$175.00
			Subtotal
For NC Residents, add 7.75% sales tax
Shipping & Handling 1-5 Manuals $6.50 each, 6-10 Manuals $5.50 each 11 or more manuals $4.50 each
TOTAL DUE

THANK YOU FOR YOUR ORDER!