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Name:________________________Unit:______________________  printer friendly format
Address:___________________________________________________________________________
City:________________________________________________State:_____________Zipe:_________
| Item Description |
Price |
Quantity |
Total |
| Ballpoint Pen |
$1.85 |
|
|
| Baseball Cap |
$7.50 |
|
|
| Blue Mug |
$4.50 |
|
|
| Calculator Notebooks |
$23.50 |
|
|
| Canvas Tote Bag |
$20.00 |
|
|
| Lanyard |
$2.75 |
|
|
| Lapel Pin |
$2.50 |
|
|
Laser Name Tags
(box of 300) |
$34.00 |
|
|
| Luggage Tag |
$2.00 |
|
|
| Meeting Folder |
$1.50 |
|
|
| Notepads |
$1.45 |
|
|
| Paper Cubes |
$3.50 |
Out of stock |
|
| Picture Cube |
$8.50 |
Out of stock |
|
| Polo Shirts |
$23.50 |
Out of stock |
|
| Sticky Note Pads |
$0.90 |
|
|
| Screensweeps |
$1.15 |
|
|
| Slinkies |
$3.00 |
Out of stock |
|
| Straw Hats w/ bands |
$21.00 |
|
|
| |
GRAND TOTAL |
|
| Method of Payment | |
1) PERSONAL CHECK (payable to UC Regents). Enclosed is my personal check no. _________
to UC Regents in the amount of $_________________ .
2) CHARGE UNIVERSITY ACCT:_______________________ |
Signature________________________________
Date_________________________________ |
Return this completed order form and personal check (if appropriate) via mail or fax to
Cheryl Bennett, 1111 Franklin Street, 6th Floor,Oakland, CA 94607-5200.
FAX: 510-465-2659 |
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