Wrightslaw

$10 Off Coupon Order Form

This $10 Off Coupon Order Form is for people who have a $10. off Coupon from Wrightslaw: IDEA 2004 and wish to redeem the coupon to purchase Wrightslaw: Special Education Law, 2nd Edition during the Special Offer.

Please mail the original coupon (photocopies not accepted), this order form, and payment to:

Harbor House Law Press, Inc., P. O. Box 480, Hartfield, VA 23071.

If you are paying by check, please make the check payable to Harbor House Law Press, Inc.

Please include your snail mail address and email address (legible please!) so we can send the e-book to your email address.

Ship and charge to:

Name: _____________________________________________________

Address: ___________________________________________________

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City: __________________________ State ________ ZIP _________

Telephone: __________________ Fax:_______________________

E-mail: ________________________________ (legible please!)

Credit Card Info:    Visa    MasterCard    Discover    (circle one) 

Credit Card #:_________________________________ Exp. Date :___________

Bank or Company Issuing Card:_____________________________________

NOTE: If paying by credit card and "Ship and charge to" name and / or address given above is different from the information associated with the bank card, you must complete the information below. If they are the same, please cross through the section below.

Name on Card: _______________________________________________

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The print version of Wrightslaw: Special Education Law, 2nd Edition will be shipped in mid-January, 2007. We will send the E-book to the email address you provide.

Please tell us how you heard about Wrightslaw books. ______________________________________________________________

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