Carrier University

Literature Order Form

Payment Method -Select Payment Method- INSTRUCTIONS: Complete form with all necessary information & return
to Carrier University.
Credit Card No. MAIL: PO Box 4808/TC-1 Syracuse NY 13221
Expiration Date Security Code FAX: 860-660-6087

Name on Card EMAIL: carrierubookstore@carrier.utc.com

BILLING ADDRESS Check here if billing & shipping are the same SHIPPING ADDRESS

Company Name Company Name

Attn Attn
Street Street CANNOT SHIP TO PO BOXES

City/ST/Zip City/ST/Zip
Phone Phone
Email Email

Order Date Date Needed PO Number

Special Instructions

ITEM QTY CATALOG NO. DESCRIPTION UNIT PRICE EXTENDED PRICE

1 $ 0.00
2 $ 0.00
3 $ 0.00
4 $ 0.00
5 $ 0.00
6 $ 0.00
7 $ 0.00
8 $ 0.00
9 $ 0.00
10 $ 0.00
11 $ 0.00
12 $ 0.00
13 $ 0.00
14 $ 0.00
15 $ 0.00
Shipping & Ground freight is prepaid & allowed. If air shipment is required, costs will be divided $ 0.00
Subtotal
Handling Charges equally among all items on order. Please call 800.644.5544, option 2, for final costs.
Sales Tax* $ Amt.
Tax-Exempt If tax-exempt, please provide a tax-exempt certificate.
*click link for online sales tax calculator
tool and enter dollar amt. on line above.
Minimum Orders Minimum order amount is $10.00

ORDER TOTAL $ 0.00