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Applicant Information:


Applicant Name:
Address:       
City:           
State:          
Zip:           
Telephone:     
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E-mail:

Options (order) Calculator
Enter Options desired... then Click on "Calculate Results"
*Payment*	*Quantity*	*Price Each*	*Requirements*	*Amount*
Master		$684.00 Each	Add shipment if by correspondence	$
Standard		$619.00 Each	Add shipment if by correspondence	$
Junior		$442.00 Each	Add shipment if by correspondence	$
Master (waiver)*		$255.00 Each	Add shipment	$
Standard (waiver)*		$195.00 Each	Add shipment	$
Room		$200.00 Each	Add if "ATTENDING"	$
Board		$150.00 Each	Add if "ATTENDING"	$
Transport		$156.00 Each	Add if "ATTENDING"	$
Shipment		$23.00 Each	Courier service	$
CD Pack*		$25.00 Each	Add shipment	$

			SubTotal:	$
The above amount is your total including shipping charges.				TAX TOTAL:
Sales Tax - Add 6.00% Tax.		Tax:	$	$

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Payment Options

You can fax in your card number. if you choose. 1 (678) 868-2192 or use PayPal or CETC PAY

Pay by Credit Card�(You can phone in this order!)

Card:

Card Number:

Expiration Date:

We will call you to verify information.

Pay by Check

If by check, please send the total amount to:

TIELC Ltd. Co.
PO Box 76044
Atlanta, GA USA
30358

Check orders take two weeks to process.

Pay by Bank Wire (USD)

TIELC,Ltd. Co.
WACHOVIA BANK
Account : 2000026282130 routing: 061000227
SWIFT: PNBPUS33CHA
Wachovia Bank, 8739 Research Drive - URP-4
Charlotte, North Carolina 28262 USA
PHONE: (704) 427-7036
FAX: (704) 427-3379 Fax
TELEX: 6843115 WACH CH

Bank wire orders take up to one week to process.

Thank You For Your Order!