Orders by mail or fax: Please print this page, fill in the form and send it to Gear Up
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: 800.231.1860
Online: trainingcpe.thomson.com/GearUp
Seminar Order Form
Seminar ID Code Seminar Name / Location Seminar Date Seminar Price
      $

 

     $
      $
      $
  Seminar Subtotal: $
Self-Study Product Order Form
Item ID Code Quantity Self-Study Product Description Price Each

Total Cost
        $
        $
        $
        $
Shipping/Handling:
Product Total S&H
$1 - $59
$60 - $99
$100 - $150
$151 - $250
$251 - $350
$351 - $500
$501 - $800
$801 - $1000		 $5.00
$10.00
$12.00
$17.00
$22.00
$31.00
$42.00
$55.00
**Note: Do not include seminars—S&H is based on total product purchace only.
Note: Do not include seminars—sales tax is based on total product purchace only.
Product Subtotal:  $
Sales Tax
(see table*): 		 $
Shipping/ 
Handling: 
(see table**) 		 $
Seminar Subtotal 
(from above): 		 $
Order 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 Reuters | Gear Up