Please Print this screen and mail or fax to Gear Up Tax Seminars.
Send orders to: Gear Up
    36948 Treasury Center
    Chicago, IL 60694-6900
or FAX TO:   817-877-3694		 Non-orders Mailing Address:
   Gear Up
   PO Box 966
   Ft. Worth, TX 76101-0966		 Questions? Contact us...
Phone: 1-800-231-1860
Web: gearup.com
Seminar Order Form
Seminar ID Number Seminar Location Seminar Date Seminar Price
      $

 

     $
      $
      $
  Seminar Total $
Product Order Form
Item ID Number Quantity Gear Up Product Description Price Each

Total Cost
        $
        $
        $
        $
Shipping/Handling:
Purchase Amt. Add
$1 - $59
$60 - $99
$100 - $150
$151 - $250
$251 - $350
$351 - $500
$501 - $800
$801 - $1000		 $5.00
$8.00
$10.00
$14.00
$17.50
$24.00
$32.00
$39.00
Subtotal:  $
Sales Tax
(see table): 		 $
Shipping/
Handling:
(see table) 		 $
Total: $

Seminar Attendee Name:______________________________________________________________

License Type (EA, CTEC, etc):__________________ License #:________________________________

Billing Name:_______________________________________________________________________

Address:___________________________________________________________________________

City:_________________________________________________ State:______ Zip:________________

Phone:_________________________________________Fax:_______________________________

E-mail: ___________________________________________________________________________

Payment Method:
    Credit Card # (Visa, MC, Amex, Discover):____________________________________ Exp.Date_______
    Check Enclosed: [  ]

Signature:_________________________________________________________________________ Thomson Tax & Accounting