Book Seals Mail-In Order Form
For ordering, please print and fill out this form and mail or fax to:
Korella Selzler, Read Aloud Book Seals
Minnesota State University Moorhead
1104 7th Avenue South
Moorhead, MN  56563
Fax Number: 218.477.5924

Name:  ___________________________________________________________________

Address: __________________________________________________________________

City/State/Zip:  _____________________________________________________________

Contact Person:  _____________________________  Phone Number: _________________

Seal Prices

Shipping and Handling Charges*
If your order totals, add
10 seals $2.50 $.00 - 2.50 $.75
100 seals $20.00 $2.75 - 10.00 $2.50
1000 seals $180.00 $10.25 - 20.00 $4.00
5000 seals $700.00 $20.25 - 120.00 $5.25
  $120.25 - 180.00 $6.00

*For orders totaling more then $180.00, please contact us.
 

Seal Quantity Cost Total
Comstock Award Seal      
Comstock Honor Seal      
Gág Award Seal      
Gág Honor Seal      

Sub-Total

Shipping and Handling

Sub-Total

6 1/2 % Sales Tax (MN only)

GRAND TOTAL

  
 
 
 
 

 

Payment Method

Please check your preferred billing method.

Check enclosed payable to Minnesota State University Moorhead

Credit Card  
            Discover        Mastercard        Visa
       
            Credit Card Number ______ - ______ - ______ - ______   Expiration Date __________
           
            Amount Authorized for Payment _____________________________________________

            Card Holder Signature  ____________________________________________________

Invoice to

            Name: _________________________________________________________________

            Address: _______________________________________________________________

                        ________________________________________________________________

            City/State/Zip ___________________________________________________________

            Contact Person _____________________________  Phone Number ________________

 

 

 

Minnesota State University Moorhead
Curriculum Materials Center
1104 7th Avenue South
Moorhead, MN  56563
218-477-2350