| Ship to: | Name: _______________________________________________________ |
| Organization: __________________________________________________ | |
| Address: _____________________________________________________ | |
| ____________________________________________________________ | |
| Phone: _________________________FAX:__________________________ |
| TITLE | QTY | PRICE | TOTAL | ||||||
|---|---|---|---|---|---|---|---|---|---|
College of Social Work, University of South Carolina Columbia, SC 29208 Attention: Susan Lucas Phone:(803) 777-6207 Fax: (803) 777-1366 Subtotal
| SC residents add 5% sales tax
| Add 6% for shipping/handling
| ORDER TOTAL
| $
| | ||||
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