MD-1 Revised  ORDER FORM

(LETTER size 3 part snapsets - carbon between pages - attached at top)

FORMS ARE SHIPPED VIA UPS IN PACKAGES OF 100 SNAPSETS  EACH

PRINT THIS FORM & MAIL TO ADDRESS BELOW TO PLACE YOUR ORDER
          
COST:  
$25.00 PER PACK TO MEMBERS OF MARYLAND STATE PEST CONTROL ASSOC. 
$45.00 PER PACK TO NON MEMBERS  OF  MPCA
TAX & SHIPPING IS INCLUDED IN PRICE.

MPCA MEMBERS ____________________# OF PACKS REQUESTED AT $25.00 EACH.

NON-MEMBERS..___________________# OF PACKS REQUESTED AT $45.00 EACH.



SHIP FORMS TO: 


COMPANY _________________________________________________________________

ATTN:          _________________________________________________________________

STREET       _________________________________________________________________

CITY, STATE,  ZIP ___________________________________________________________

***UPS ONLY DELIVERS TO STREET ADDRESS***


*


MAKE CHECKS PAYABLE TO "MPCA - FORMS" AND MAIL WITH ORDER TO:         





MPCA  -  MD-1 Revised FORMS
P.O. BOX  927
ABERDEEN, MD   21001