Name________________________________________________________
Title__________________________________________________________
Entity_________________________________________________________
Address_______________________________________________________
City_________________________State__________Zip Code+4__________
Telephone________________________FAX_________________________
E-Mail________________________________________________________
[ ] Payment is enclosed (make checks payable to INGroup)
[ ] Please invoice me
| Qty. | Title | Unit Price | Cost | Shipping | Subtotal |
| Legislative Sourcebook | |||||
| Indiana Executive Branch Guide | Not applicable | ||||
| Indiana Capitol Calendar | Not applicable | ||||
| Indiana tax exempt number: | or 6% IN sales tax | ||||
| xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx((no tax on shipping) | |||||
| Indiana Legislative Insight | |||||
| [] FAX [] E-Mail | |||||
| Indiana Education Insight | |||||
| [] FAX [] E-Mail | |||||
| Indiana Gaming Insight | |||||
| [] FAX [] E-Mail | |||||
TOTAL |
|||||

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