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![]() Financial Aid and Scholarship Workshop
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Product Description |
# of Computers/Users |
Cost Per User |
Total | ||
| Select the course option & determine users: | |||||
| [ ] Online Course | ___________ X | US $67.00 | = US $________ | ||
| Student Workbook (For Workshop) | ___________ X | US $10.95 | = US $________ | ||
| The Scholarship Workbook | ___________ X | US $13.95 | = US $________ | ||
| Special Offer Online Course + Scholarship Workbook |
___________ X | US $67.00 + S/H | = US $________ | ||
| Subtotal | = US $________ | ||||
| Illinois residents add 9.25% sales tax | + US $________ | ||||
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*Shipping and Handling: | + US $________ | |||
| Total: | = US $________ | ||||
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| Date: | _________________ |
| Name: | _________________________________________________________ |
| Company: | _________________________________________________________ |
| Shipping Address: | _________________________________________________________ |
| _________________________________________________________ | |
| City: | _________________________________________________________ |
| State: | _________________________________________________________ |
| Zip: | _________________________________________________________ |
| Country: | _________________________________________________________ |
| Phone: | _________________________________________________________ |
| Fax: | _________________________________________________________ |
| E-Mail Address: | _________________________________________________________ |
| Payment Method Select your payment method. |
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| [ ] Check or Money Order (Make payable to AvScholars Publishing) }}}We do not accept personal checks. |
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| [ ] Credit Card (Complete credit card information below) | |
| Credit Card Information | |
| Credit Card: | [ ] MasterCard [ ] VISA [ ] AMEX [ ] Discover |
| Credit Card #: | _________________________________________________________ |
| CCV Number: | _________________________________________________________ |
| Expiration Date: | _________________________________________________________ |
| Name On Card: | _________________________________________________________ |
| Signature: | _________________________________________________________ |
| Credit Card Billing Address (if different than above address) | |
| Billing Address: |
_________________________________________________________ |
| _________________________________________________________ | |
| City: | _________________________________________________________ |
| State: | _________________________________________________________ |
| Zip: | _________________________________________________________ |
| Country: | _________________________________________________________ |
| Delivery Method of Services or Products | |||
| Shipping Products Once payment has been confirmed, we will ship your products to the address provided under the "Customer Information" section. |
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| Online Course Once payment has been confirmed, you will receive an email notification that will direct you to our Single-User: Online Course web page, which allows you to complete the online registration form to create your personal online account, immediately. |
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