ORDER FORM

Complete, print out, and mail or fax this form to order Collaboration products.

Not sure if your institution is a member of The Collaboration?  Click here for a list of current members!

ITEM MEMBER PRICE NONMEMBER PRICE QTY. TOTAL
Casebook: Dilemmas in Teaching
[Description]		 $19.95 $24.95 $
Video: Opening Doors: Two Cases of Formative Assessment of Teaching
[Description]		 $95 
 		 $130 
 		 $
Video: The Renewal of Community in Higher Education with Parker Palmer and Cheryl Crazy Bull
[Description]		 $80 
 		 $110 
 		 $
 
SHIPPING & HANDLING
 $8.95
Subtotal:
Minnesota residents add 7.625% sales tax:*
TOTAL:
*If tax-exempt, please attach proof of your tax-exempt status to your order form.

PAYMENT INFORMATION (Sorry; The Collaboration cannot accept purchase orders)
Check enclosed |  VISA |  Mastercard |  American Express
Credit Card Number:  Exp. Date: 
CSV Number (on the back of your card):

Signature:

SHIPPING INFORMATION:  Merchandise will be shipped to the following address:
 
NAME: 
ADDRESS:
ADDRESS2:
CITY: 
STATE: 
ZIP:
PHONE: 
 FAX:
EMAIL:

PRINT OUT AND MAIL OR FAX this form to:
The Collaboration
2356 University  Ave. West
Suite 230
St. Paul, MN  55114
Phone: (651) 646-6166 / Fax: (651) 646-3162
Email: collab@collab.org