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E.L. Achieve Order Form
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Please complete this form and share your Google Sheet with us or send a scanned PDF:
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Fax:
831.536.1616
Email:
orders@elachieve.org
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Customer Information:
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Name Title
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Agency Phone
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Street
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City State Zip
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Email
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Shipping Information, if different from above:
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Name Title
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Agency Phone
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Street
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City State Zip
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Email
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Receiving location is closed for break. Please enter date range of closure:
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Payment Method:
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Request an Estimate*Check Number:
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Credit Card Payment*Purchase Order Number:
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*Client Services will contact anyone requesting estimates and/or credit card payments.
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Request for Additional Information:
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I am interested in learning about E.L. Achieve’s professional development.
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I would like to receive periodic updates from E.L. Achieve.
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Email(s):
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Institute Information, required for all partner district Handbook orders:
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Lead Presenter
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Co-Presenter(s)
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Institute initiative:
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ElemELDSecELDElemCMSecCM
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Will this institute be offered virtually?
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YesNo
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Institute dates:
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Day 1Day 2Day 3Day 4Day 5
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Apprentice Institute
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Apprentice(s)
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Order Summary
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$0.00Publicly Available Products Subtotal (tab 2)
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$0.00Partner District Products Subtotal (tab 3)> For international, AK, and HI orders, please call or
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$0.00eLearning Products Subtotal (tab 4)email for a quote on shipping/handling charges.
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$0.00Materials (tab 5)
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+$0.00Presenter Kits (tab 6)> Distributor charges 15% re-stocking fee on all
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$0.00Product Subtotal returned items.
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+$0.00Shipping & Handling (10% of product subtotal)
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$0.00Subtotal> Reference the website for product descriptions:
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x0.00%Enter CA Resident Sales Tax, or 0www.elachieve.org/products
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$0.00Calculated Sales Tax
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=$0.00Grand Total
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Internal Use Only
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SO #EST #
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VISTA
EST SENT
DL
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HAYSWEB
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CLINV #
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LOG
INV SENT
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DC
INV PAID
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Notes
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760.290.3461
www.elachieve.orgorders@elachieve.org