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1. Please Print and Complete This Order Form.
2. List Items You Wish to Order and Quantities Desired.
3. Individual Law Enforcement Purchasers: Attach a Copy of Your Agency ID Card
4. FAX This Form with Your Credit Card Information to: (908) 226-8715
...or (5) Mail this Form with Your Check, Money Order or Credit Card
Information ... to the address listed below:
USCCCNII National Crime Commission
A Division of USCCCN International, Incorporated Post
Office Box 663 South Plainfield, New Jersey 07080-0663 Fed. ID# 22-3248936
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PRINT
Name:_________________________________________________________________________________
Firm/Org/Agency/Inst:_________________________________________________________________________
Address:_____________________________________________________________________________________
City:____________________________________
State:___________________ Zip:________________________
Telephone: (_________) _______________________________
E-Mail:__________________________________
QUANTITY................ITEM...........................................................Price
Each.................................TOTAL ..................
_______ Hidden Traps and Secret Compartments VHS
$ 39.95 Incl. Shipping $_________________ _______ Manual of Prohibited and Concealable
Weapons $395.00 Incl. Shipping $_________________ _______ The
Unspoken Dialogue
$ 17.95 Incl. Shipping $_________________ _______ Armed
Robbery Training Manual on CD-ROM $295.00 Incl.
Shipping $_________________ _______ Stress Management For Life - The CD
$ 35.00 Incl. Shipping $_________________
_______ L.A. Behind Bars VHS: Jail & Prison Gang Mgmt
$ 39.00 Incl. Shipping $_________________
_______ New Aviation ID & Inv Manual for Law Enforcement $75.00 Incl. Shipping
$_________________
_______ STREET CRIMES: Street Smart Strategies for Law Enforcement - Check
Off For Training Data
All Prices Include Shipping. All Orders Must Be PREPAID.
Subtotal of Order:$________________
**CHECKS/MONEY
ORDERS Must Be Made Payable To: USCCCNII National Crime Commission):
Individual. NJ(Only) Purchasers Must Add 6% NJ Sales Tax:
$________________
Agency
Tax Exempt#:______________________________
Total
Including Sales Tax (NJ Individual Purchasers Only): $____________________________
Total of Check/Money Order Enclosed:$___________________________
****CREDIT
CARD ORDERS - Master Card / Visa / AMEX / Discover:
Sub-Total of Ordered Items:
$_______________________________
NJ (Only) Purchasers Must Add 6% NJS Tax $________________
Total
Including Tax (Individual NJ Purchasers Only):$__________________________
Credit Card: ___Visa __Master
Card __AMEX __Discover ....................Expiration Date:________/_______
Credit Card Number:____________________________________________________________________________
Name
on Card:_________________________________________________________________________________
Address
of Cardholder:__________________________________________________________________________
Signature:_____________________________________________________________________________________
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