Date: __________________

 

 

Bill To:  ________________________           Ship To:  _________________________

 

  ________________________                          _________________________

 

  ________________________                          _________________________

 

  ________________________                          _________________________

 

  ________________________                          _________________________

 

 

P.O.# (if applicable):  ________________________

 

 

INVOICE

 

Item                                                                 Price                   Quantity                    Total

 

 

The Librarian Is In   video                             $15.00 each             ___                      $ ____

 

The Librarian Is In   facilitator’s guide*          $10.00 each             ___                      $ ____

*includes 3-ring binder

*PDF file on diskette

 

Shipping & Handling                                                                                                     $ 5.00                                                                                                                                      - - - - -

 

                                                                                                TOTAL:                       $ ____

 

 

Please make check payable to:  ICON

 

Please remit orders/payment to: ICON

                                                            c/o Mary Helms

                                                            5619 Jones Street

Omaha, NE  68106-1232

Phone:  402-559-7099

Email:   mhelms@unmc.edu