Pasitos Order Form
SEND ALL ORDERS TO:
SCHOTT EDUCATIONAL MATERIALS
P.O. BOX 5296 • VENTURA, CA 93005 • (805) 647-0267
To FAX YOUR ORDER -- (805) 647-0112

SHIP TO: Name _____________________________________________
Address ___________________________________________
City ______________________ State ______ Zip __________
Phone (_____)_________________ Date _________________


VISA
MASTERCARD

 Send a PURCHASE ORDER or CHECK payable to:
Schott Educational Materials

Account Number Expiration Date

_________________________________________   ______/______

Signature

_____________________________________________


Please Check one of the
following for
SCHOOL


RESIDENCE
NO.
DESCRIPTION
QTY.
PRICE
$ AMOUNT
         
         
         
         
         
         
         
         
         
         
Sub Total
  
Sales Tax
  
10% Shipping (on Sub-total amt.)
  
TOTAL