VIRGINIA CLE PUBLICATIONS ORDER FORM

Make check payable to "Virginia CLE" and mail to CLE
Publications, P.O. Box 4468, Charlottesville, VA 22905
OR fax your order to Virginia CLE at (434) 979-3147
OR order by phone: (800) 979-VCLE (979-8253).

Name _____________________________ VA State Bar # ______________

Firm ___________________________________________________________

Street Address _________________________________________________

City __________________ State __ Zip ________ Phone ____________

E-mail address: ________________________________________________
May we use e-mail to send you information in your areas of
interest? Yes ___  No ___ 

    Publication Title     Item No.  Price  Quantity  Total Price

_________________________ _________ ______ ________  ___________

_________________________ _________ ______ ________  ___________

_________________________ _________ ______ ________  ___________

                                             Subtotal___________

                Virginia residents add 4.5% sales tax___________
                  (if not included in prices above)
                  Shipping and handling (per order)     $7.00 

                                          GRAND TOTAL___________
Method of Payment:

__Check (Check #_____)       __Visa       __MasterCard

Credit card number _____________________________ Exp. Date _____

Signature ______________________________________

Automatic Supplementation:
Because supplementation is so important to the continuing
usefulness of handbooks, we will automatically send you
supplements and new editions (with invoice and right to return)
unless you indicate below that you do not want them.

___ Please DO NOT send me future handbook supplements or new
editions.
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