4QM Reader Order Form · 4QM Teaching

List Price = $75 each
20% Discount for ordering direct from 4QM using this form = $60 each
40% Discount for paid curriculum subscribers = $45 each

Name(Required)

First Last

Title(Required)

Email(Required)

School District / CMO(Required)

School

State(Required)

Phone(Required)

Country Phone Number

Billing Address(Required)

Street Address Address Line 2 City State ZIP Code

Shipping address is same as billing(Required)

Yes

Shipping Address

Street Address Address Line 2 City State ZIP Code

Number Of Copies(Required)

Please enter a number greater than or equal to 1.

Are you a paid curriculum subscriber?(Required)

Yes

Payment(Required)

I plan to pay with a purchase order

I plan to pay with a credit card (+3% processing fee)

Sales Tax(Required)

My purchase is tax exempt

Sales tax will be calculated on final invoice

Total

0 U.S. History I Readers @ $60.00	$0.00
Credit Card Fee (0%)	$0.00
Total cost (less sales tax and shipping)	$0.00
Sales tax and shipping will be calculated on final invoice.