Pennsylvania Handbook of Best Management Practices
for Developing Areas
Order Form

Click Here to download this form in MS Word.

Item Price Number ordered Total
Handbook (without binder) $25 ____________ ____________
Handbook, Assembled with binder $30 ____________ ____________
PACD or SWCS Member -$5 ____________ ____________
PA Residents add 6% sales tax
(Tax exempt entities must include your sales tax form with this order form)
____________
Sub-total ____________
Shipping and handling (per copy) $8.00* ____________
TOTAL AMOUNT DUE ____________

*As of March 7, 2005

Please make check payable to "PACD" and mail to:

PACD
25 North Front Street
Harrisburg, PA 17101
or Fax to: (717) 238-7201

Or you may pay by filling out your credit card information below.

Send Handbooks to: ________________________________________________________

Name: ___________________________________________________________________

Company: ________________________________________________________________

Street Address: ____________________________________________________________

City, State, Zip: ____________________________________________________________

Phone: ________________________________ Fax: ______________________________

E-mail: _________________________________

You may order by mail or fax (717) 238-7201 with a Visa or MasterCard.

Credit Card Payment: (Please select one.)

___ Visa ___ MasterCard

For Visa or MasterCard Payments: (We must have the following to process your order.)

**Note: Cardholder Name and Billing Address must be entered exactly as they appear on the credit card statement.**

______________________________________________
Cardholder Name

______________________________________________
Billing Address

______________________________________________
City                                            State              Zip

_____________________________ _______________
Card Number                                      Expiration Date

______________________________________________
Cardholder Signature