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TRAINING PR ODUCTS ORDER FORM
I . WAYS TO ORDER
MAIL PHONE FAX WEBSITE
Tire Industry Association 301.430.7280 301.430.7283 www.tireindustry.org
1532 Pointer Ridge Place, Suite E 800.876.8372
Bowie, MD 20716-1883
I I . C O N TACT INFORMAT I O N Date Ordered ________________________________
Name ____________________________________________________________________________________
Company __________________________________________________________________________________
Shipping Address (no P.O. Boxes) ______________________________________________________________
City ______________________________________ State ____________ Zip+4 __________________
Phone ____________________________________ Fax ________________________________________
E-mail ____________________________________________________________________________________
Website __________________________________________________________________________________
I I I . ITEMS ORDERED
PRODUCT CODE QUANTITY ORDERED UNIT WEIGHT TOTAL WEIGHT UNIT COST TOTAL COST
__________ __________ __________ __________ __________ __________
__________ __________ __________ __________ __________ __________
__________ __________ __________ __________ __________ __________
__________ __________ __________ __________ __________ __________
I V. SHIPPING & H A N D L I N G Date Order Needed __________________________
1-5 lbs $5 16-20 lbs $13 51-70 lbs $35
6-10 lbs $7 21-31 lbs $20 71-100 lbs $50
11-15 lbs $10 36-50 lbs $30 Over 100 lbs Call
For rush orders, international shipping or shipments over 100 lbs, please call 800.426-8835 or 502.968.8900.
International orders over $50 are shipped DHL.
I prefer to use my own account number: Fed Ex UPS __________________________________________
V. TOTAL OF III AND IV
TOTAL FOR ALL PRODUCTS ORDERED $_________
TOTAL FOR SHIPPING & HANDLING $_________
KENTUCKY RESIDENTS ADD 6% SALES TAX $_________
TOTAL AMOUNT DUE $_________
V I . METHOD OF PAY M E N T
Check (make payable to TIA) Invoice Me (TIA members only) P.O. # __________________________________
VISA MasterCard AMEX
Credit Card Number ________________________________________________________ Expiration Date ____/____/____
Card Holder Name (Please print) __________________________________________________________________________________________________________
Card Holder Signature __________________________________________________________________________________