Wise Guys: Curriculum Order

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ORDER FORM

Family Life Council, A Division of the Children's Home Society of NC
301 E. Washington St., Ste. 204, Greensboro, NC 2701

To place an order:

Ph.: 336-274-1538 x118 Glenda	Email: gbrown@chsnc.org
For all other questions and information:
Ph.: 336-333-6890	Email: cblackmon@flcgso.com

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 Family Life Council.
To purchase by credit card, please fax completed Order Form to 336- 333-6891 and phone the credit card number with expiration date to Glenda. See above phone number.

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 ($6 per manual in US)
Handling (one charge per order				$10.00
TOTAL DUE

THANK YOU FOR YOUR ORDER!