Subscription Form

ORDER FORM

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WEISBURG ASSOCIATES, LLC

95 Photine Drive

Lowell, MA 01854

E-mail address:  slworkshop@hotmail.com

Phone:  732-939-7576

Fax (call above number in advance) 732-441-7344

__ New Subscriber                              __ Renewing Subscriber     ___ Number of Subscriptions

 

 

Name of School District:

 

 

Billing Address and phone/fax:

 

 

 

 

Name(s), e-mail addresses, and phone numbers of Subscribers:

 

 

 

Price $40 per year for subscriptions not going through subscription agencies

Payment Method


__ P.O    # ___________

__ Send Invoice

__ Send Paypal invoice (for credit card payments)

__ Check enclosed

All payments should be made to Weisburg Associates, LLC and sent to the address at the top.