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800-655-2078

Special Education - Autism
Life Skills - Structured Teaching

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Quick-Entry Order Submission Form

 

This form bypasses our normal shopping cart system and will allow you to quickly
enter your order by SKU number and quantity. Default shipping is calculated at 10%. If your order contains one or more of our Bundles or Super Bundles please place your order by our shopping cart or by telephone so that the shipping discount can be included!

 

 * indicates required field

SKU 1   remove 
   Amt: 
SKU 2   remove 
   Amt: 
SKU 3   remove 
   Amt: 
SKU 4   remove 
   Amt: 
SKU 5   remove 
   Amt: 
   
     
  subtotal
   Amt: 
shipping (10%)
   Amt: 
  total
   Amt: 
* Billing First Name:
First name is required.
* Billing Last Name:
Last name is required.
Organization Name:
* Billing Address 1:
A valid address is required.
Billing Address 2:
* Billing City:
City name is required.
* Billing State:
 Please select a state.
* Billing Zip Code:
A valid zipcode is required.Invalid format.
* Name of Person Ordering:
Name of person ordering is required.
* Callback Number:
A valid callback number is required.Invalid format.
* E-mail:
A valid email is required.Invalid format.
* E-mail Confirmation:
A valid email is required.Invalid format.
Same as Billing

* Shipping First Name:

A first name is required.
* Shipping Last Name:
A last name is required.
Organization Name:
* Shipping Address 1:
A valid address is required.
Shipping Address 2:
* Shipping City:
City name is required.
* Shipping State:
Please select a state.
* Shipping Zip Code:
A valid zipcode is required.Invalid format.
* Payment Method:

Please make a selection.
 
       

    

 

 

Tel: 800-655-2078     Fax: 281-392-7380     E-mail: customerservice(at)handsontasks.com