ICI
PUBLICATIONS ORDER FORM
Send order to Institute on Community Integration; University of Minnesota, 109 Pattee Hall, 150 Pillsbury Dr. SE, Minneapolis, MN 55455. Phone: 612-624-4512. Fax: 612-624-9344.
Publication Price Per Copy Quantity Total Price
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Publications Total $____________
Minnesota residents add 6.5% sales tax $____________
TOTAL $____________
Prices include shipping and handling. Orders must be accompanied by purchase order or check payable to University of Minnesota (tax ID #416007513). Minnesota residents please add 6.5% sales tax (does not apply to tax exempt organizations, including public schools. Minnesota tax exempt organizations other than public schools must enclose a copy of their tax exemption certificate.)
Name_____________________________________________________ Phone_______________________
Agency_________________________________________________________________________________
Address_________________________________________________________________________________
City___________________________________________ State_________________ Zip ________________