Updated March 15, 2007
Online Purchase Order Form
2006 Mental Health Code Details: 8.5" X 11" bound copy Last bound copy published in 1996 Up-to-date as of December 31, 2000 Discounts for large orders Cost: 1 -19 Books........................$12.00 each* 20 - 49 Books.....................$10.00 each* over 50 Books....................$ 8.00 each* *plus shipping Shipping/Ordering Information Full Name: Agency: Billing Address Shipping Address: If different than billing address: City, State & Zip: City, State & Zip: Phone: Fax: Email: If different than name listed above. Ordered by: Number of Copies: Price Each: Total Before Shipping: Shipping Total Shipping Charges: 1 to 5 items: $ 5.00 6 to 10 items: $ 7.50 11 to 15 items: $ 10.50 16 to 20 items: $ 12.50 21 to 50 items: $ 15.00 over 50 items: $ 20.00 Order Total Payment Type Mail check payable to: MACMHB, 426 S. Walnut, Lansing, MI 48933 PO # Credit Card Credit Card Type Visa Master Card American Express Discover Credit Card Number Expiration Contact Person (in case of problem with payment) Phone Number Confirmation Print out confirmation page on screen after you submit the form. After submitting this form, please email Tresha Crenshaw for confirmation.
Details:
Cost: 1 -19 Books........................$12.00 each* 20 - 49 Books.....................$10.00 each* over 50 Books....................$ 8.00 each* *plus shipping
If different than name listed above. Ordered by:
After submitting this form, please email Tresha Crenshaw for confirmation.