
1331 Mango Isle
Fort Lauderdale FL 33315
CD / CASSETTE ORDER FORM-FOR PAYING WITH CHECKS / MONEY ORDER
PLEASE PRINT
Name: ________________________ Company: ____________________________
Address: ________________________________________________________
City: _____________________________ State: ________ Zip code: ________
Phone: _______________ Fax: ____________ E-mail Address:_______________________
I would like to order:
(*FOR CANADA PLEASE ADD $ 10.95 SHIPPING, FOR ALL OTHER
COUNTRIES ADD $ 20.95)
Media Preferred (Please Circle
One): CD
/ Cassette (CD #3 available on CD Only)
CALIFORNIA RESIDENTS ADD 8.25% SALES
TAX ______
FLORIDA RESIDENTS
ADD 6% SALES TAX
______
TOTAL:
______
Please Enclose a check / money order and mail
or fax this form to:
Advanced Learning Systems
1331 Mango Isle
Fort Lauderdale FL 33315
(954) 241-6932 - (For all fax orders, please mail payment to the address
above. The program will be shipped the day the payment is received.)
If you have any questions, please call our
office (954) 205-1882