The Science Connection
P.O. Box 253
1120 E. Washington
Clarinda, Iowa  51632
Phone:  712.542.2335
800.232.5861
FAX:  712.542.1052
 

Date:               Contact Name: 

School Name:            Address: 

City:            State:            Zip Code: 

School Phone Number:            P.O. Number: 

Method of Payment: (Please Check one option) 1.  Personal Check 
2.  P.O. 
3.  Credit Card:   Master Card  Visa
     Credit Card Number:    Expiration:    Year

 

 
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Freight Charges:  $1.00 - $50.00 = $7.50;    $50.00+ = 15%
These rates are for the 48 Continental United States only.
For all other orders, contact us for shipping rates.

 Freight:  
     Balance Due: