UCIWPL ORDER FORM

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Customer Information (please make a hard copy of this form, print or type all information and mail with payment to the address below): 
Name: 
Street Address: 
City, Province/State: 
Country, Zip Code: 
Telephone Number: 
E-mail: 
Item Quantity Price per Item TOTAL PRICE
UCIWPL-7
ea.
$17
$
UCIWPL-6
ea.
$16
$
UCIWPL-5
ea.
$16
$
UCIWPL-4 
ea.
$16 
UCIWPL-3 
ea.
$16 
UCIWPL-2 
ea.
$14 
UCIWPL-1 
ea.
$14 
Subtotal: 
Shipping and handling (per one item): Domestic: $5; Canada: $7; 
Mexico: $7 (airmail), $5 (surface); Elsewhere: $12 (airmail), $8 (surface) 
Shipping: 
Total: 

Prepayment required. Please make checks or money orders payable to 'ILSA-ASUCI'. We cannot accept credit card payment. Payment must be in US funds, drawn on a US bank. Please allow 4-6 weeks for delivery. Send order form and payment to:

Irvine Linguistics Students Association,
School of Social Sciences,
University of California, Irvine,
Irvine, CA 92697, U.S.A.

Please address inquires to: ilsa@orion.oac.uci.edu

If you want to order more than one item, click current shipping & handling