NOTE: Use the "back" button of your browser to return to SHICK's site after printing this page, or CLICK HERE! ORDER FORM SHICK SCHOOL SUPPLY - Print out this order form and Mail or Fax it to Shick - Mail to: SHICK School & Office Supply, 801 Perrysville Ave., Danville, IL 61832-6897 FAX to: 1-217-442-1549
SCHOOL/INSTITUTION/COMPANY ____________________________________________ ATTENTION ____________________________________________ ADDRESS ____________________________________________ CITY/STATE/ZIPCODE ____________________________________________			MARK FOR or ATTENTION OF ____________________________________________ SCHOOL/INSTITUTION/COMPANY ____________________________________________ ADDRESS ____________________________________________ CITY/STATE/ZIPCODE ____________________________________________
YOUR PURCHASE ORDER NUMBER ____________________________________________ YOUR PHONE NUMBER ____________________________________________ THIS ORDER AUTHORIZED BY ____________________________________________ POSTITION ____________________________________________			SHIPPING INSTRUCTIONS SHICK WILL SHIP PROMPTLY BUT PLEASE ALLOW EXTRA DELIVERY TIME FOR ORDERS SHIPPED DIRECT FROM OUR FACTORY SOURCES. SHIP TO ARRIVE [  ]  ASAP [  ]  AFTER_____________ [  ] BACK-ORDERS SHORTAGES [  ]CANCEL SHORTAGES
CATALOG PAGE NO.	CATALOG NO.	QUANTITY	PRODUCTION DESCRIPTION	PRICE	TOTAL
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[  ]CHECK ENCLOSED FOR $____ [  ]CHARGE THIS ORDER TO OUR     ACCOUNT.     Applies to Schools, Institutions     & Commercial Account ONLY.     Orders from individuals must     always include check or Charge     Card (VISA, MASTERCARD)     number. [  ]OPEN A CHARGE ACCOUNT     FOR US, WE QUALIFY AS     NOTED ABOVE. [  ]VISA     Exp. date _______ _ _ _ _   _ _ _ _  _ _ _ _  _ _ _ _ [  ]MC     Exp. date _______ _ _ _ _   _ _ _ _  _ _ _ _  _ _ _ _ Authorized Charge Card Signature:____________________		[  ] IF PAYMENT IS INCLUDED WITH ORDER, ADD 10% OF THE TOTAL FOR TRANSPORTATION, ADDITIONAL CHARGES WILL BE INVOICED SEPERATELY. [  ] IF A CHARGE ORDER, SHICK WILL INCLUDE SHIPPING CHARGES ON YOUR INVOICE.	MERCHANDISE TOTAL		_____
			SALES TAX UNLESS EXEMPT		_____
			ADD 10% FOR ESTIMATED SHIPPING CHARGES		_____
			TOTAL		_____

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