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Beth Mount
Resume



PLEASE COMPLETE, PRINT AND FAX TO 845-373-7052

-OR-

MAIL TO: CAPACITY WORKS, LLC
PO BOX 271, AMENIA, NY 12501-0271

NAME

TITLE/DEPT.

ORGANIZATION

ADDRESS 1

ADDRESS 2

CITY

STATE

ZIP

E-MAIL

TELEPHONE EXT.

ITEM #
ITEM DESCRIPTION
QUANTITY*
AMOUNT
TOTAL
         
         
         
         
         
         

*Please call for quantity discounts for orders of 40 or more per title.

Subtotal: _______________

NY/NJ Residents, Please Add Appropriate Sales Tax:_______________

Shipping & Handling (See Below):_______________

TOTAL:_______________

__Tax exempt (attach a copy of your tax exemption certificate). __For resale (attach a copy of your resale certificate).

Please charge my __Visa __Mastercard

ACCOUNT NO.:___________________________ Exp. Date: ______

SHIPPING INFORMATION: (If different from above)

Name:____________________________________

Title/Dept.:_____________________________

Organization:_________________________________

Address:_____________________________ City:___________________State:___ Zip:___________

SHIPPING & HANDLING CHARGES

Books: $3.50 per order PLUS $1.00 per item (example: 3 books=$6.50 S&H)

Posters & Worksheet Packs: $4.00 for the first (Worksheet Pack or Poster) PLUS $1.00 for each additional (example: 4 Posters=$7.00 S& H)



CAPACITY WORKS, L.L.C., P.O. Box 271, Amenia, NY 12501-0271
Toll free: 888/840-8578; NY State:845/373-4218; Email: capacityworks@aol.com
©2001, 2003 Capacity Works; Artwork ©2000 Dr. Beth Mount
Fed. tax id #52-2193975
Website design ©2001, 2003 HYPERSPHERE DESIGN.