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A Free Copy of Invoice - DOC

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					                              BAI Learning & Development
                                     Order Form
                                      Please e-mail to:
                                   BTCCSERVICE@bai.org
                                             or
                                     FAX: (314) 843-0166
           Please send me additional order forms     Today’s Date 11/13/2010
           Permanent change of address               Account #

        Name:                                        Phone:
        Company:
        Address:

        City:        State:       Zip:
        Special Instructions:
        Date Programs needed:                        Number of programs being returned:

Part#      Title                           Qty of       Qty of    Qty of      VHS     CD-ROM
                                           Programs     Books     Leader’s
                                                        *         Guides*




   *When selection includes workbook and/or guide, member will receive one (1) free copy per
program. Invoice will reflect the member’s discounted price when additional copies are requested.


Miscellaneous instructions:


   Please confirm order by return Fax.               FAX:
     Order #: _____________________

   I’d like to receive product news via e-mail. Please add me to your list.
     e-mail address:


                        Thank you for e-mailing or faxing your order
   Any questions or comments, please call our customer service department at 1-800-264-7600.

				
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