Science Select
Order Form
Science Select
Daily Lessons Plans for 4th & 5th Grade
and Intermediate Science Teachers
Science Select
70 Shearwater Place
The Woodlands, TX 77381
281-419-4461
FAX 281-292-3730
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Module #
Module
Name
Quantity
(# of Users)
Price
Total
Price
         
         
         
         
         
         
         
         
*If no district purchase order is used, a tax exempt number
is required.  Individual tax rate is $.065.                                                   
Module Total   ____________
                                                                      Shipping & Handling    ____________
                                                                                              *Tax      ____________
                                                                                               Total     ____________
Make check payable to Science Select
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_________  Enclosed is my purchase order number ___________

Authorized Signature _________________   Title __________________ Date ________