ORDER FORM

Augmentative Communication Consultants, Inc.

P. O. Box 731    Moon Township, PA  15108

Phone:  1-412-264-6121     Fax :  1-412-269-0923   TOLL FREE:  1-800-982-2248

www.acciinc.com

Please fax order to 412 269-0923 and Request Confirmation

 

Prices subject to change without notice.

 

Product#

Description

Quantity

Total Price

P.O.#       Phone:   

Bill To:

Name:    

Facility:

Dept.    

Address: 

          

City:     

State:   

Zip:      

 

 

Ship To:

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Facility:

Dept.    

Address: 

         

City:    

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SHIPPING

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SUBTOTAL

ADD

$1 - 49 $5.00
$50 - 99 $8.00
$100 - 299 $15.00
$300 - 499 $20.00
$500 - 699 $25.00
$700 - 999 $30.00
Over $1,000 add 2% to Subtotal

Click Here to Request our NEW 2008 Catalog

Our Mission:

"Helping You to Make the Right Choice"

 in Augmentative Communication & Software Solutions
 

ACCI represents over a dozen manufacturers of augmentative communication and other assistive technologies.

Payment should accompany all orders except those accompanied by organizational purchase orders.

Thank you for your loyalty to ACCI, a company that has made "A Commitment to Helping You Make

the Right Choice".

 

All products and corporate names are trademarks of registered trademarks of their respective companies and are used only for explanation and to the owner's benefit, with out meaning to infringe.
All prices are subject to change without notice.