Cyberchampion GROCERY COUPON BOOKLET ORDER FORM by richman4

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									                   Cyberchampion GROCERY COUPON BOOKLET ORDER FORM
To place your order, complete the order form and return it along with payment to:


                                                  Cyberchampion
                                           4190 Vinewood Lane, Suite 111-443
                                            Plymouth, Minnesota 55442-1735

Please enter your name--______________________, your group’s name___________________

Please enter your street address--------------------_______________________________________

Please enter your city, state and zip code---------_______________________________________

Number of coupon books requested-------------------------------------- _________________
                                               Number of Books           Cost Per Book        Book Total
                                                     2 - 24                 $18.00
                                                     25 - 49                $16.00
                                                     50 - 99                 $9.00
                                                   100 - 249                 $8.00
                                                   250 - 499                 $7.00
                                                 500 – 24,999                $6.00
                                                25,000 – 49,999              $5.00
                                                    50,000+                  $4.00

  Tri-fold brochures
                                                      Tri-fold Brochures                    Brochure Total
                                         Tri-fold Brochure Template & Customization             Free
                                             1 copy per coupon booklet purchased                Free

  Customized Financial Spreadsheet for Summarizing Fundraising P & L
                                        Customized Fundraising Finance Template             TemplateTotal
                                                Finance Template in Excel                      Free
  Shipping, handling and insurance for For Coupon Books and Tri-fold Brochures
                                        Number of Books         Total
                                         & Brochures In       Shipping
                                              Order            Charge
                                               1 - 49           Free
                                             50 - 249          $12.50
                                            250 - 500          $17.50
                                           501 - 2000          $22.50
                                         Total Shipping                    Total Shipping
                                          For Books &                          (Books +
                                           Brochures                           Shipping)


                                  TOTAL PURCHASE AMOUNT
              (Add costs for coupon books, brochures, software and shipping here

                          Thank you for your order……………….                 Cyberchampion

								
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