PRODUCTS: Order Form
To
place an order, complete the form below including credit card information
and press send. If you wish to pay with a check or money order, please complete
and print out and this form. Send the form and checks or money order to:
Woodard
& Associates
103 G Street SW, Suite B312, Washington D.C. 20024
You can also fax an order to 202-554-0148
| First
Name: |
| Last
Name: |
| Company
Name : |
| Street
Address : |
| City:
|
| State
or Province: |
| Country:
|
| Zip:
|
| Email
Address: |
| If Paying with a credit card please fill out the information below. |
| Name
as it appears on card: |
| Card
Type: |
| Account
Number : |
| Expiration
Date : |
| Credit
Card Billing Address: |
| City:
|
| State
or Province: |
| Zip:
|
| Products |
Quantity | Price |
|
Book: Black Entrepreneurs In America: Stories of Struggle and Success |
($25 each) | |
|
Sexual Harrassment Awareness Test |
($5 each) minimum order 20 | |
|
Sexual Harrassment Supervisor Guide |
($15 each) | |
| Trainer's Package | ($250 each) | |
| Total Amount > |
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