Systems III, L.L.C.
P.O. Box 367
Bowie, MD 20719-0367

(301) 464-0003
(301) 464-9077-Fax
(301) 646-8505-Cell

systems3
@verizon.net

Print and mail or fax the order form or purchase order to:

Systems III, LLC
P. O. Box 367
Bowie, MD 20719
(301) 464-0003
Fax (301) 464-9077
E-mail: Systems3@Verizon.net

Order Form

Name: ___________________________									Title: _____________________________
Organization:				__________________________________________________________
Address:			____________________________________________________________
City, State, Zip:					________________________________________________________
Telephone Number: ( )________________										Fax: ( )_________________
E-mail Address:						______________________________________________________
Ship to Address (If Different):								___________________________________________
City, State, Zip:					________________________________________________________
Attention:		_____________________________________________________________
Credit Card Information
Name on Card:					________________________________________________________
Type:	Visa _______ MasterCard _______ American Express _______
Credit Card Number:							_____________________________
Expiration Date:							____ / ____ (Month/Year)

Items	Quantity	Price	S&H	Line Total
A Guide to Participating in Your Child’s Academic Success	__________	X $10.00	+ $_________	= $_________
Homework Survival Kit	__________	X $12.99	+ $_________	= $_________
Homework Poster	__________	X $10.00	+ $_________	= $_________
Private Lessons: A Book of Meditations for Teachers	__________	X $10.95	+ $_________	= $_________
Roots and Wings	__________	X $2.00	+ $_________	= $_________
Surefire Ways to Empower Students	__________	X $10.00	+ $_________	= $_________
Tambourine Moon	__________	X $16.00	+ $_________	= $_________
GRAND TOTAL	__________		+ $_________	= $_________

Ordering in Bulk (500 or more of an item)? Other questions? Call (301) 464-0003 and ask for Mary.

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