Cupp Publishers, Inc.
52 Wylly Avenue

Savannah, GA 31406


Phone
(912) 691-2434  Fax (912) 691-1449

E-mail 

 

Catalog #

Title/Description

Quantity

Unit Price

Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

   

 

                             SUBTOTAL

$

 

Shipping and Handling

Under $100      $10

$100-$1,000     10%

Over $1,000       8% 

 

Shipping and Handling                     

 

 

$  

 

 

 

SALES TAX IF

APPLICABLE                                                                                             

$

 

 

 

           TOTAL

$

 

 


BILLING ADDRESS:
    O Home     O School    SHIPPING ADDRESS:    O Home     O School

 

_______________________________________          ________________________________________

School or District                                                                         School or District

_______________________________________          ________________________________________

Name (Dr., Mr., Mrs., Ms.)                                                                        Name (Dr., Mr., Mrs., Ms.)

_____________________________________              ________________________________________

Address                                                                                                       Address

_______________________________________          ________________________________________

City                                               State                 ZIP                         City                                                        State          ZIP

_______________________________________           _______________________________________

Phone                                                   Fax                                                  Phone                                            Fax

_______________________________________           _______________________________________

E-mail                                                                                                          E-mail

 

PAYMENT METHOD:                                             DATE ORDERED:___________________


O  Purchase Order No. _____________      
 
O  Check  (must be attached)

 

PLEASE ALLOW UP TO 6 WEEKS FOR DELIVERY

      

MAIL ORDERS TO:
    
Cupp Publishers, Inc.
52 Wylly Avenue

Savannah, Georgia  31406