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The Safety Book For Your Family Order Form

Print Copies For Employees, Or Send PDF Copies

Use this form to mail, fax, or telephone your order to:

John Myre
Safety Times

1265 Rogue River Ct.
Chesterfield, MO 63017

Phone: 636-536-2875
Fax: 636-536-0779

E-mail: sfttimes@swbell.net

 

This order is for a one-time printing or mailing.
If you print or send more than 20 additional copies in the future, please send a new form. The $.50 charge will apply, but not the $100 licensing fee.


You may print a copy for each employee, or send a PDF copy to your employees. You might want to add an additional amount to include potential new employees.

We will send you a Word and PDF file of the book.

You may make changes to the book, and use your own cover, if you wish.

The one-time licensing fee is $100.

The one-time royalty is $.50 per book, with a maximum total charge of $2,500.

                  


YES, I will print or send ______ copies at $.50 per copy

 
Licensing fee $100.00

Missouri customers add 7.925% sales tax

 

TOTAL ($2,500 maximum, excluding tax)

 

 

 Name

____________________________________

Dept. or Title

____________________________________

Employer

____________________________________

Address

____________________________________

City

____________________________________

State

___________ Zip __________________

Country

____________________________________

Phone

____________________________________

E-mail

____________________________________


Method of Payment
     Credit card number  ________________________ Expiration ______

       Visa, MasterCard, American Express, and Discover accepted
     Send invoice
    Payment enclosed

 

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