order form: u.s. addreses only TO ORDER BY PHONE: 1-800-786-4452 • Mon–Fri, 8 am–7 pm CT TO ORDER BY FAX: 1-866-891-1695 TO ORDER BY MAIL: 25442 Network Pl., Chicago, IL 60673-1254 TO ORDER ONLINE: shop.iccsafe.org ICC Members: Provide your ICC member number to receive discount pricing ___________________________ Date _______ /_______ /_______ Item Number Qty List Price, Each Member Price, Each Description (specify edition) Total SUBTOTAL SHIPPING SALES TAX TOTAL PAYMENT Shipping Rates Order Shipping Subtotal Charge U.S. Shipping, Continental 48 Up to $25, 10–15 day Media Mail...$4.50 Up to $25, 3–10 day FedEx Ground (no P.O. Boxes)..................................$9 $25.01 to $50...................................$10 $50.01 to $100.................................$11 $100.01 to $200...............................$15 $200.01 to $500...............................$20 $500.01 and more............. 4% of subtotal AK, HI and U.S. Territories Shipping Up to $25......................................$8.50 $25.01 to $200.................................$19 $200.01 to $500...............................$32 $500.01 or more................8% of subtotal International Shipping Canada and Mexico...........20% of subtotal All Other Countries....$25+20% of subtotal International shipping rates may vary. Deliveries to remote areas may be delayed. Call for Express Delivery. PRICES SUBJECT TO CHANGE. Method of Payment: (Nonmembers of ICC must prepay by credit card, check or money order.) Check or money order Bill my Membership No. Purchase Order No.: (COPY OF AUTHORIZED P.O. REQUIRED) MasterCard VISA Discover American Express CVV# (3- or 4-digit security code printed on card) Card No. _________ /_________ /_________ /_________ Expires_________ /_________ Name as it appears on card: Signature (required) ICC USE ONLY All payments in U.S. Funds. Sales Tax: AK, AL, AR, AZ, CA, CO, CT, DC, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, NC, ND, NE, NJ, NM, NV, NY, OH, OK, PA, RI, SC, SD, TN, TX, UT, VA,VT, WA, WI, WV and WY add applicable sales tax. Returns and Refunds Products may be returned in new, resalable condition within 30 days with proof of purchase. A restocking fee of 20 percent of the original selling price will be imposed on accepted returns. All returns must have written authorization from ICC. No refunds are made for software, audio or video products. Defective items may be exchanged only for the same titles or editions. Please call 1-800-786-4452 for complete details. Bill To: (Please Print) Person ordering ________________________________________ Company or Jurisdiction ________________________________________________________ Attn: ____________________________________________________________________ e-mail:__________________________________________________________________________ Street __________________________________________________________________________ City ____________________________________________________________________________ State ______ Zip ___________ Daytime phone ( ___ )__________________________ Ship To: (If different from “Bill To” address or outside of U.S.) (Please Print) Company or Jurisdiction _________________________________________________________ Attn:___________________________________________________________________________ Street __________________________________________________________________________ City __________________________________________________________ State _____________ Zip/Postal Code ______________________________________________________________ 16-12353 07/16 CHECK IF YOU WOULD LIKE ADDITIONAL INFORMATION Membership Application Certification information Product Catalog Seminar information
2016 Product Catalog
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