ORDER FORM FOR SCHOOL DISTRICTS
ACHIEVE PUBLICATIONS
1216 SCOBEE DRIVE
LANSDALE, PENNSYLVANIA 19446
Please copy this form for your ordering convenience
Order by fax 215-368-1431 or mail
Order through your regional sales office for school discount
*School price includes standard educational discount.
9% to cover transportation & handling cost is
to be added for USA & Canada. Overseas
shipping & handling is 20%.State & local taxes
should be added where they apply.
Learning Disabilities: There is a Cure 2nd Edition
School discount 10% $16.16 ea.
Five or more 15% $15.26ea.
Ten or more 20% $13.91 ea.
Achieve Visual Memory Program Levels I-IV
School discount is 10% $71.95 ea.
Five sets or more 15% $67.95 ea.
Ten sets or more 20% discount $63.95 ea.
Sold in Two Volume Sets
Achieve: Levels I& II, III & IV or V & VI
School discount is 10% $39.56 ea. set
Five sets or more 15% $37.36 ea.
Ten sets or more 20% $35.16 ea.
Learning Disabilities: There is a Cure 1st Edition
(While they last) Special Price $10.00 ea.
Great for Teacher Training Workshops
TITLE/DESCRIPTION QUANTITY 
* SCHOOL PRICE
Signature________________________
School Tax Exempt No._______________
School Purchase Order Number___________________
Daytime Phone Number ______________
PLEASE PRINT OR TYPE
Charge to:
Name_______________________
Position_____________________
School___________________________________
School District_____________________________
Address__________________________________
City__________________State______Zip_______
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Auditory Sequential Memory Instructional Workbook
School discount is 10% $13.50 ea.
Five or more workbooks is 15% 12.75 ea.
Ten or more workbooks is 20% 12.00 ea.
Overseas 20% S&H __________
Send To:
Name____________________________
School___________________________
Address__________________________
City _________________________State______zip____
Visual Discrimination: Noting Differences in Frequently Misperceived Words Workbook
School discount is 10% 13.50 ea.
Five or more workbooks is 15% 12.75 ea.
Ten or more workbooks is 20% 12.00 ea.
