ORDER FORM
"WE ARE AUTISM" 2008 WALL CALENDAR
Please print this form, fill it out and mail along with your check or money order to the following address:
Northwest Suburban IL of ASA
P.O. Box 958102
Hoffman Estates, IL 60195
NAME: ___________________________________________________________
ADDRESS: ___________________________________________________________
CITY: ___________________________________________________________
STATE: ___________________ ZIP CODE: ____________________
PHONE: ___________________________________________________________
E-MAIL: ___________________________________________________________
$10.00 Each.
How Many Calendars Do You Want? __________
Don’t forget to add shipping, if not picking up at the meeting.

PAYMENT METHOD: CHECK # ____________ MONEY ORDER #________________
Please make your check or money order payable to "NW Sub IL of ASA."
Sorry, we cannot accept debit or credit card payments.
SHIPPING CHARGES VARY ACCORDING TO THE AMOUNT OF CALENDARS SHIPPED TO ONE LOCATION.
See chart below. Please allow 7-10 days for delivery. We only ship in the continental U.S.
1-2 CALENDARS $3.00
3-4 CALENDARS $4.25
5-6 CALENDARS $5.50
7-8 CALENDARS $6.75
9-10 CALENDARS $8.00
Shipping charges include fees for shipping materials.
THANK YOU FOR YOUR ORDER!!!!!!!!
*PLEASE NOTE* Calendars will be available after December 4, 2007