Order Form

PLEASE RETURN WITH YOUR REMITTANCE OR PURCHASE ORDER

LOOSE-LEAF, HARD-COPY BOOKS:
(price includes initial loose-leaf book plus one year of updates)
QTY
____    Book B (Adjudication) - $150.00
____    Book C (Schedule for Rating Disabilities) - $130.00

____    Book A (General) - $270.00
____    Book D (Insurance/Compensation/Fiduciary) - $100.00
____    Book G (Vocational Rehabilitation and Education) - $270.00
____    Book H (Loan Guaranty) - $120.00
____    Book I (Medical) - $160.00


Please send any book(s) and all supplements to the following address:*

Office: ___________________________________________________________
Attention: _________________________________________________________
Address: _________________________________________________________
                   _______________________________________________________
City: ________________________   State: _________  Zip: _________________
Email _____________________________________________________________
Phone: ____________________________  Fax: ___________________________

Referred by: ____________________________________________________________________

Remittance is being made in the following form:

(  )  Check (enclosed)     (  ) Purchase Order

Or, use Paypal for your entire purchase.  Major credit cards can be used via PayPal, without having a PayPal account.

Product:

NEW ORDER RENEWAL
BOOKS B&C  
ALL 7 BOOKS
 

* If you are ordering multiple copies, and wish the books or the updates sent directly to a specific address, just attach a distribution list to your order form.

Jonathan Publishing
5261 Capital Heights Ave
Baton Rouge  LA  70806

Email: info@jonpub.com