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Title Resource Group Weekly Planner Online Order Form

* Indicates a required field

Company Name: *

Contact Name: *

Phone Number: *

Fax: *

Email Address: *

Do you have Multiple Shipping Addresses? *

Yes
No

(If you select "Yes," please enter your primary Shipping Address below and we will contact you and get the additional shipping addresses.)

Shipping Address: *

Shipping City: *

Shipping State: *

Shipping Zip Code: *

Billing Address: *

Billing City: *

Billing State: *

Billing Zip Code: *

One billing address allowed per order. If you have multiple billing addresses please fill out a separate order for each billing address.

Pricing:

500 - 999: $5.99/each

1,000 - 1,499: $5.50/each

1,500 - 1,999: $5.25/each

2,000 - 2,999: $4.99/each

over 3,000: Call for a quote

Add $.25/per book for hard cover and/or full color cover option.

Quantity of Appointment Books:

Orders must be in multiples of 20 due to carton size.

If the quantity you have indicated is not evenly divisible by 20 we will round up your quantity to the next even amount.

Quantity *

Add Cover Material: *

Special Instructions:

Upon receipt of your order, a Dataguide representative will contact you with instructions on how to submit copy for your customized intro pages. Proofs will be sent for your approval, once copy is received.

If you have any questions, please don’t hesitate to call your sales representative.

Cust. Svc: 800-343-0583
Email: sales@dataguide.com