logo.gif (5218 bytes)     Natural Learning Concepts
Make check payable to Natural Learning Concepts Inc. or use your Master Card or Visa.   You can fax this order form to 631-858-0061 or send to
Natural Learning Concepts Inc., 21 Gallatin Drive, Suite B, Dix Hills, NY 11746
Name Organization
Street address Address (cont.)
City State/Province
Zip/Postal code Country
Work Phone Home Phone
FAX E-mail
QTY ITEM # DESCRIPTION PRICE EACH TOTAL PRICE
Sub Total
New York Sate Residents add 8.25% sales tax
Shipping and Handling (see below)
TOTAL DUE
Shipping and handling charges for United States.    International orders please call for shipping charges
Items Add
1 item $8.00
2 items $8.50
3 items $9.00
Each additional item add 50 cents
BILLING    
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Cardholder name  Card number  Exp date
SHIPPING Write SAME if same as above
Street address Address (cont.)
City State/Province
Zip/Postal code Country
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