This order form can be printed and either mailed, faxed, or used to call in a phone order. At this time we do not have the capacity for accepting orders via e-mail.

Item	Quantity	Unit Price	Amount
____________________________________	_________	_________	_________
____________________________________	_________	_________	_________
____________________________________	_________	_________	_________
____________________________________	_________	_________	_________

For Credit Card Orders:		Item Total	__________
_____ Visa	_____ Mastercard	Shipping	__________
Card # __________________________________________		Sales Tax	__________
Expiration Date _______________________________		(6% for MD Residents only)
Name exactly as it appears on the credit card ______________________________
Signature ____________________________________		TOTAL	__________

Shipping address
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

All prices listed are base prices. Maryland residents add 5% sales tax.

$4.00 for 1 item	$2.50 per item for 7-11 items	$1.50 per item for 25-39 items
$3.50 per item for 2-3 items	$2.00 per item for 12-24 items	$1.00 per item for 40+ items
$3.00 per item for 4-6 items
$8.00 for a single tape or DVD	$3.00 for each additional tape or DVD	$15.00 for all Home Study Programs

* The rental period for all Multi-tape and Multi-DVD sets is five weeks.
* For shipping outside of the U.S., please call for information.
* Manual orders will be sent by U.S. Mail, 4^th Class Book Rate or by UPS regular ground service, unless expedited service is requested.
* Video-tapes will be sent by U.S. Priority Mail, with return postage included.
* Audio-tapes will be sent by U.S. Mail, 4^th Class or by UPS regular ground service, unless expedited service is requested.
* Orders combining media will be sent by U.S. Mail, 4th Class, or by UPS regular ground service, unless expedited service is requested.
* For expedited service, please call (301) 986-1479 for information.
* Payment may be made by Mastercard or Visa for fax or phone orders. Mail orders may be paid for by Mastercard, Visa, or checks made payable to IDEALS/NIRE.

• Call the IDEALS/NIRE Administrative Office at (301) 986-1479
• Fax the Administrative Office at (301) 680-3756
• Write to:
  IDEALS/NIRE
  12500 Blake Road
  Silver Spring, MD 20904-2056