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This order form is not yet secure - in the future you will be able to order online. Fill out this form, print, and fax to EUREKA at 510.669.0992, ATTN: Lynda Jackson.

4 Convenient Ways to Order
  • Email: lynda@eurekanet.org
  • Phone: 888-463-2247
  • Fax: 510-669-0992
  • Mail: Box 687, Pinole, CA 94564

  • QTYCODEDESCRIPTIONPRICETOTAL
      Microskills Software  
    MS4 MicroSkills $670.00
    MS2 MicroSkills Updates $300.00
      MicroSkills Worksheets  
    SE1 Form R WorkSheets-Black/White (pkg/100) $50.00
    SE1-C Form R WorkSheets-Color (pkg/100) $65.00
    SK1 Form E WorkSheets-Black/White (pkg/100)$50.00
    SK1-C Form E WorkSheets-Color (pkg/100)$65.00
    SN2 High School Worksheets-Black/White (pkg/100) $50.00
    SN2-C High School Worksheets-Color (pkg/100) $65.00
    SY3 High School Worksheets (Spanish)-Black/White (pkg/100) $50.00
    SY3-C High School Worksheets (Spanish)-Color (pkg/100) $65.00
    SG1 Form R Cards $15.00
    SO1 Form E Cards $12.50
    SI1 Answer Worksheet (pkg/25) $10.00
      How Do I Learn Worksheets  
    SF1 How Do I learn Worksheet-Black/White (pkg/100)$50.00
    SF1-C How Do I learn Worksheet-Color (pkg/100)$65.00
      True Colors Worksheets  
    ST1 True Colors Worksheet-Black/White (pkg/25) $15.00
    ST1-C True Colors Worksheet-Color (pkg/25) $30.00
    ST2-C True Colors Worksheet-Color (pkg/100) $120.00
    TCP-A True Colors Introduction Cards (set of 4) (Adult) $7.50
    TCP-Y True Colors Introduction Cards (set of 4) (Youth) $7.50
      Occ-U-Sort Worksheets (available soon)  
    ES1 Occ-U-Sort Worksheet-Black/White (pkg/100)$50.00
    ES1-C Occ-U-Sort Worksheet-Color (pkg/100)$65.00
      Dreammaker Products  
    CAR-10 Career Pointer (ea.)$5.95
    CAR-11 Career Pointer (pkg/25)$131.25
    CAR-12 Success Pointer (ea.)$5.95
    CAR-13 Success Pointer (pkg/25)$131.25
    TCB-030 True Success Middle/High School Workbook $22.95
      Books  
    TCP-218-A Follow Your True Colors to the Work You Love $24.95
    TEN-1 What Color is Your Parachute, for TEENS $24.95
    GAG-1 Global Achievement Gap $16.95
      Miscellaneous  
    POSTR EUREKA Posters (8.5x11) ea.$7.50
    SUBTOTAL
    Tax
    *Handling/Shipping will be quoted after submission.
    Total

    *Handling/Shipping: Software Orders 5% of Subtotal added, Material Orders 12% of Subtotal added
    Minimum Handling/Shipping charge of $6.00.

    Your Information
    Site Name (if applicable):
    First Name:
    Last Name:
    Regional Director (if applicable):
    Last Name:
    Street Address:
    City:
    State:
    Zip:
    Phone:
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    Payment Method
    Mailing a Check (payable to EUREKA, CCIS)
    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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