[CBSPD PRINTABLE ON-LINE BOOK ORDER FORM]

Quantity	       Description			Price Each	 TOTAL AMOUNT


________ CBSPD Technician Study Guide-9th Edition	    $20		___________________

________ CBSPD Flexible Endoscope Study Guide-2nd Edition   $20		___________________

________ CBSPD Surgical Instrument 
   	 Specialist Study Guide-2nd Edition		    $20		___________________

________ CBSPD Ambulatory Surgery Technician  
	 Study Guide-1st Edition			    $20		___________________

________ CBSPD Supervisor Study Guide-5th Edition	    $20		___________________

________ CBSPD Manager Study Guide-5th Edition              $20		___________________

________ SPU's Basics of Sterile Processing Text-3rd Ed.    $95		___________________

________ SPU's Basics of Sterile Processing Workbook-3rd Ed. $30	___________________

________ SPU's Management Basics for Sterile Proc. Text-1st Ed. $90      ___________________

________ Surg Instrumentation for the OR: A Photographic Manual. 8th Ed. $60  ______________  

**Please Add $16 shipping for the first item, and $2 for each additional item
Also for orders over $200, add 3% of your total (insurance fee) to the final cost.**
		    
						TOTAL AMOUNT OF ORDER:	___________________

Please make money order or Bank/Facility Check payable to: CBSPD, Inc.
.......ALL ORDERS TO BE PAID IN ADVANCE....PERSONAL CHECKS no longer accepted.......

Mail to: CBSPD, Inc. - 148 Main Street, Suite B-1, Lebanon, NJ 08833
OR CALL THE CBSPD TO PLACE A CREDIT CARD ORDER (Visa, Mastercard, Discover).
All orders shipped via FEDEX-3 day.  
Please call 1-800-555-9765 for overnight pricing and for orders going outside 
the continental United States. All prices subject to change.
Allow 1 week for processing/delivery.

.......PLEASE PRINT ALL INFORMATION.......

**NOTE: If you want the books shipped to your home address, DO NOT complete the 
facility/department information.** WE CANNOT SHIP TO A "PO BOX"

Name:___________________________________________________________________________

Name of Facility:____________________________________________ Dept:____________________

Address:_______________________________________________________________________________

City/State/Zip Code:___________________________________________________________________

Daytime Phone:___________________________________ Email:_______________________________________
	       (Area Code)