Educator Review/Instructor Copy Order Form

Review Copy Order Form FAX To: 1-714-730-1414 -or- Mail To: 13381 White Sand Dr., Tustin, CA 92780-4565

Please print and complete this form in its entirety, add a sheet of your school letterhead and FAX both pages to us along with your payment. If you are requesting review copies of materials for more than one class, please fill out a separate form for each one.

1. Please check whether your request is for a review copy or instructor's copy
      ____ Review copy (a book that is being considered as a required text)
      ____ Instructor's copy (no charge - attach copy of bookstore or association purchase
                                                             order or a copy of your requisition to the bookstore)
2. Title of Book or Software Requested:___________________________________________

3. Requesting Instructor ____________________________ Department ___________________
4. Institution/Association:_________________________________________________________
5. Department Address:__________________________________________________________

__________________________________________________________________________ __________________________________________________________________________
6. Instructor's Telephone #:____________________ Email address_______________________
7. Dept. Phone__________________________ Dept.Fax _______________________________
8. For: Course Name____________________________________ Course # ________________
9. Term____________ Class Size:_______       ___Graduate ___Undergraduate ___Vocational
10. Projected Decision Date________________________________________________________

Method of Payment:   $12 per book, $35 per software package including Anatomy of a Business Plan.   CA residents add 7.5% sales tax). Shipping: add $5 for first item and $2 each for each additional item)

____ Enclosed is my check in the amount of $_____.___
____ Please bill my credit card for a total of    $_____.___
Check one: ___Visa   ___MasterCard    ___American Express

Account #: ________________________________ Card Expiration Date:________
Cardholder Name: ____________________________________________________
Signature: ___________________________________________________________

Thank you for considering our publications! OUT OF YOUR MIND...AND INTO THE MARKETPLACE^TM www.business-plan.com

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