Products and Services -- PACD

	PACD Engineering Assistance Application Form Technical Centers Workload Advisory Team Procedures
	Nutrient Trading
	BMP Handbook
	Downstream T-Shirts
	Legislative Directories

Click Here to download this form in MS Word.

Item	Price	Available Sizes	Indicate size(s) & Quantity	Subtotal
Print	$100.00	N/A
T-shirt	$ 16.00	M, L, XL
T-shirt	$ 22.00	XXL
Sweat Shirt	$ 26.00	S, M, L, XL
Sweat Shirt	$ 30.00	XXL
Subtotal
Print Sales Tax			6% of print subtotal
(Clothing items are not taxable)
Print Postage and Handling			add $8.50
T-shirt Postage and Handling			$3.00 for one shirt, plus $2 for each additional shirt
Sweatshirt Postage and Handling			$4.00 for one sweatshirt, plus $2 for each additional sweatshirt
TOTAL AMOUNT DUE:

Please make check payable to The Bay Education Office 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 to: (Please print legibly)

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