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Resource Order Form

MRAA Resource Order Form

Please note discounts for MRAA members.

Your Name

Business Name

Address

City

Zip Code

Phone

Fax

DEI Safety Video: Member $4.50 / Non Member $4.50 / S&H $5.00

Modern Merchandising: $24.95 Member / $29.95 Non-Member / $15.00 S&H

Safety Program: $1490.00 Member / $2100.00 Non-Member / N/A

Second Year: $495.00 Member / $600.00 Non-Member / N/A

Safety Manual +1 year support: $175 Member / NA / NA

Safety Manual +2 years support: $251 Member / NA / NA

Safety Manual +3 years support: $322 Member / NA / NA

Payment Information:

Invoice Me Visa Mastercard AMEX

Card Number

Expiration Date

= Required