ResidentAssistant.com Ordering Form

Please print this form and fill in your ordering information
When you have completed the form, send with your check or money order, to:
The Collegiate Empowerment Company
PO Box 702
Lambertville, NJ  08530

QTY	DESCRIPTION
______	InspiRAtion for RAs - ($14.95 retail rate, S&H $1.50 for 1-3 books.
______	Bulk Orders Please see pricing schedule below

Case Size # of BOOKS Approx. Discount Price Per Copy Bulk Rate Discount YOU SAVE S&H TOTAL PRICE ½ 25 15% $12.70 $317.50 $56.25 $10 $327.50 1 50 20% $12.00 $600.00 $147.50 $20 $620.00 1 ½ 75 25% $11.25 $843.75 $277.50 $25 $868.75 2 100 30% $10.50 $1050.00 $445 $40 $1090.00 3 150 35% $9.75 $1462.50 $780 $50 $1512.50 4 200 40% $9.00 $1800.00 $1190 $60 $1860.00 Please provide us with the following contact information:
Name: ______________________________
School: ______________________________
Email: ______________________________
Phone: ______________________________
Address: ______________________________
Line 2: ______________________________
City: _____________________	State: ____ Zip: _________