www.chineseliteracy.net - Order and Subscription - Fall 2004 Special Discount Package

Special Discount Package Order Form
Amount: $40.00 USD
Payment Method: check or money order


First Name:
Last Name:
Institution Name: (optional)

		Shipping address:
Address 1:
Address 2: (optional)
City:
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Zip Code:		(5 or 9 digits)
Country:		United States

Qty:		Make any changes?
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Email - We will email you a confirmation number for this transaction. When you send in your payment, please enclose a printout of the confirmation email.

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Please indicate the textbook (i.e. Chinese Primer, Integrated Chinese, or Practical Chinese Reader) that you are using.

Textbook:

Additional Message: (255 characters) (optional)

We will ship your order after we receive your payment. Send your payment and your confirmation email to: Chinese Literacy Project, 66 Creemer Ave, Iselin, N.J. 08830. Please make check or money order payable to Chinese Literacy Project.