BILL TO: NAME _____________________________________________________________ STREET ADDRESS __________________________________________________ CITY/STATE/ZIP ____________________________________________________ DAY PHONE ________________________ E-MAIL ________________________ SHIP TO: (If different from billing address) NAME _____________________________________________________________ SCHOOL/ORGANIZATION _____________________________________________ STREET ADDRESS __________________________________________________ CITY/STATE/ZIP ____________________________________________________ DAY PHONE ________________________ E-MAIL _________________________

DATE: ___________________ PDK MEMBER: ___ YES ___ NO We ship by the most economical means available. Please allow 10 days to two weeks for delivery within North America. Shipping outside North America usually takes longer. Special shipping is available on request: please call for additional costs if you want us to use UPS, air, or express service or email orders@pdkintl.org. Orders from individuals and bookstores are processed on a cash or credit card basis only. We accept institutional purchase orders. Prices are subject to change without notice. All prices and payments in U.S. funds.

QUANTITY	PRODUCT CODE	DESCRIPTION/TITLE	PRICE EACH	TOTAL

Processing Charges for North America Up to $25: add $5.50; $25.01 to $75: add $10.95; More than $75: add $10.95 plus 9% of merchandise total. Orders over $75 are shipped by UPS unless special handling is requested. The processing charge is nonrefundable. For international orders, contact our Order Department orders@pdkintl.org for rates and transit information. Chapters do not pay the processing charge but are billed for exact shipping charges.

Total from above $____________ Processing Charge $____________ 6% Sales Tax on merchandise delivered in Indiana $____________ TOTAL DUE $____________

METHOD OF PAYMENT: 

___ Check or money order enclosed.   ___ Purchase order enclosed.

Charge my   ___ VISA   ___ Mastercard   ___ American Express   ___ Discover

Card # ________________________________  Exp. Date_________  

Signature ______________________________

FORWARD TO: Phi Delta Kappa International, 408 N. Union, P.O. Box 789, Bloomington, IN 47402-0789
812/339-1156 -- 800/766-1156 -- Fax: 812/339-5556 -- E-mail: orders@pdkintl.org -- http://www.pdkintl.org