Undergraduate Programs

Speech 470 Materials

Complete and print the order form below. Mail to: University of Maryland University College Distribution Center, SFSC Room 1210, 3501 University Blvd. East, Adelphi, MD 20783 USA. You may also print and fax a completed form to: 301-985-7496. For additional information, call 301-985-7112 or e-mail qvance@polaris.umuc.edu. Please allow two weeks for delivery.

Name

E-mail Address

Social Security or Student Number

Address

(Note: UPS will not deliver to a post office box.)

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Please check the items that you would like to order from the following:

	Purchase of a set of audiotapes, the Kentucky Comprehensive Listening Test Parts I, II, & III, and Marriage and the Family Lesson 11: Divorce, at $15 per set of two tapes.

	*Rental of videotape containing Hicks and Peters', Listen to Sell* and the Watson-Barker Listening Test Forms A & B videotape @ $70 per rental.**



	$__________ Total payment enclosed

Payment may be made using VISA, Master Card, personal check, money order, bank cashier's check or certified check. Total cost for all recommended materials is $85.00, including shipping and handling. (Please add $4.25 tax for Maryland residents for a total of $89.25) Upon return of the rented videotapes in good condition, a refund of $40 will be processed, for a total refund of $80 if both tapes are returned. (MD residents will also be refunded an additional $2 in sales tax for each video returned.)


Indicate method of payment:	Please complete the following if using credit card:
Money Order	Account #
Bank Cashier's Check	Name on Card
Certified Check	Expiration Date
VISA	Amount of Charge $
MasterCard	Date

(Form is printable only)	Cardholder's Signature _____________________________

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