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We have not made this order form secure yet, in the future you will be able to order online. To use this form now: fill it out, then print and fax the 2 pages to EUREKA at 1.510.669.0992, ATTN: Lynda Jackson.

3 Convenient Ways to Order
  • Call: 1-888-463-2247 (Toll Free)
  • Mail: PO Box 647
    Richmond, CA 94808
  • Fax: 1-510-669-0992

    • QTYCODEDESCRIPTIONPRICETOTAL
        Software   
    MS4 MicroSkills $750.00
    MS2 MicroSkills Updates $350.00
        Software Support/Paper Products   
    SG1 MicroSkills Form R Cards $12.50
    SO1 MicroSkills Form E Cards $10.00
    SE1 MicroSkills OH/Form R WorkSheets (pkg/10) $7.00
    SF1 MicroSkills OH/Form R WorkSheets (pkg/100) $50.00
    SK1 MicroSkills Form E WorkSheets (pkg/10)$7.00
    SL1 MicroSkills Form E WorkSheets (pkg/100)$50.00
    SN2 MicroSkills High School Form Worksheets (pkg/10) $7.00
    SN3 MicroSkills High School Form Worksheets (pkg/100) $50.00
    SPO MicroSkills Scoring Coupon (per coupon) $10.00
    SQO MicroSkills Scoring Coupon (pkg/25) $237.50
    SI1 MicroSkills Answer Worksheet (pkg/10) $5.00
    NAV EUREKA Reference Guide (System Features/Loading Instructions)$3.50
    EL1 EUREKA User's Guide $1.00
    ST1 How to Interpret the EUREKA Skills Inventory (pkg/10) $2.00
    ES1 Occupations List (pkg/10) $2.00
    POSTR Posters $5.00
        Reference Service Press   
    HS Senior's Guide to Merit & Other No-Need Funding $27.95
    College Student's Guide to Merit & Other No-Need Funding $32.00
    RSP Minority Funding Set $126.00
    Financial Aid for African Americans $37.50
    Financial Aid for Asian Americans $32.50
    Financial Aid for Hispanic Americans $35.00
    Financial Aid for Native Americans $37.50
    Directory of Financial Aid for Women $45.00
    SUBTOTAL
    Tax
    *Handling/Shipping will be quoted after submission.
    Total

    *Handling/Shipping: Software Orders 5% of Subtotal added, Material Orders 10% of Subtotal added
    Minimum Handling/Shipping charge of $6.00.

    Your Information
    Site Name (if applicable):
    Your First Name:
    		 Last Name:
    Your Regional Director (if applicable):
    		 Last Name:
    Street Address:
    City:
    		 State:
    		 Zip:
    Phone Number:
    		 Email:
    Payment Method
    Mailing a Check (payable to EUREKA, C.C.I.S.)
    Purchase Order #
    VISA MasterCard American Express     Card # Expiration Date

    Please allow 5-10 days for delivery.
    Prices are subject to change without notice.

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