Please print this form and send or fax it to:
The Art Institute of Chicago
Museum Shop Mail Order Department
950 N. North Branch Street
Chicago, Illinois 60622
(800) 905-8537; Fax (312) 337-4653
Please Print
Name _________________________________________________
Address ________________________________________________
City____________________ State/Country___________________
Zip Code ___________________
Date _______________________
Daytime Phone # _____________
My check is enclosed (payable to The Art Institute of Chicago).
I wish to use a credit card (information below).
MasterCard
Visa
American Express
Account Number ____________________________
Expiration Date _____________________________
Signature _____________________________
Book Title
Quantity
Item Price
Total
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Subtotal
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Shipping and Handling
Discount
______
Subtotal
______
Up to $15.00
$4.95
For overseas rates,
8.75% Sales tax (IL delivery)
______
$15.01-30.00
$6.95
Contact Mail Order
Shipping/Handling
______
$30.01-50.00
$7.95
Department directly.
TOTAL
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$50.01-70.00
$9.95
$70.01-95.00
$11.95
Art Institute Members
$95.01-120.00
$12.95
receive a 10% discount.
$120.01-150.00
$14.95
$150.01-200.00
$18.95
$200.01 or more
$25.00