Instructivision Online School Order Form

PAYMENT METHOD: 

Purchase Order Number, Visa, or mastercard:  

Bill To:

Shipping Information:

Name

Name

School

School

Address

Address

City

City

State, Zip

State, Zip

Phone Number

  
ext:
          

Phone Number

  
ext: 
          

Quantity

Order Number

Title

Format

Unit Price

Total Price

$
    

$
    

$
    

$
    

$
    

$
    

$
    

$
    

$
    

$
    

$
    

$
    

$
    

$
    

$
    

$
    

$
    

$
    

Subtotal

$
    

Shipping and Handling: Add 11% of order;(min. $8.50) 
Orders of $1,000 or more S/H is 9% 

$
    

New Jersey Residents add 7 % Sales Tax

$
    

GRAND TOTAL

$