Friendly Chemistry Order Form
To order Friendly Chemistry curriculum and pay by personal check, money order or school purchase order, please print the following form, complete and then mail order form and payment to:
Hideaway Ventures
79372 Rd 443
Broken Bow NE 68822
If you plan to order Friendly Chemistry and pay by a credit card, please click here for ordering instructions.
Please email or call if you have questions about ordering. Email: info@friendlychemistry.com Telephone (308)872-5505.
Today's date: ______/______/______
Name_____________________________________________________________________
Address___________________________________________________________________
City______________________________State______________Zip Code_____________
Telephone ( ) ____________________ Email address________________________
Shipping or Billing Address (if different from above)
_____________________________________________________________________________
City_______________________________State______________Zip Code_______________
Telephone ( ) ____________________ Email address________________________
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Curriculum Items |
Quantity I Need |
Cost Each |
Extended Cost |
|
Friendly Chemistry Student Edition with Manipulative Set |
|
$75.00 |
$ |
|
Friendly Chemistry Teacher's Edition |
|
$60.00 |
$ |
|
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|
Sub Total |
$ |
|
|
|
Nebraska Sales Tax 5.5% if Nebraska Resident |
$ |
|
|
|
Shipping FREE! |
$0.00 |
|
|
|
Subtotal |
$ |
| Discount for distributing brochures | $ | ||
| Total for order | $ |
Method of Payment (please check one):
Personal check _______ (check number _____)
Money order _________
School Purchase Order ________ (PO # _________) Please attach a copy of your school's purchase order.