ACA
Store Order Form
ORDER
FORM
(Print
out this form and print or type information)
NAME:_____________________________________________
ADDRESS:__________________________________________
CITY:______________________________________________
STATE:
_________________________ ZIP:_______________
COURT:____________________________________________
E-MAIL
ADDRESS:__________________________________
PHONE:
(_________) ________________________________
(In case we have a question about your
order)
My
check/money order in U.S. Dollars payable to the
Arizona
Courts Association is
enclosed. |
|
Mail
to:
The
ACA Store
Arizona Courts Association
PO Box 1689
Phoenix, AZ 85001-1689 |
Item
No. |
Description |
Quantity
Ordered |
Unit
Price |
Total
Price |
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| *
Indicates Back-ordered Items |
| Shipping
& Handling (see chart below) |
$ |
| Total
Due on Order |
$ |
| Shipping
& Handling Charges: |
Amt
of Purchase |
Shipping
& Handling |
| up
to $50.00 |
$5.00 |
| $50.01
to $100.00 |
$10.00 |
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