PBRC MANUal order form
Please print out,
complete, and mail this form with your payment. All orders must be prepaid.
Shipping cost is included in the price.
Make check or money order to: Community Service Society
Print and send this order form and payment to: Community Service
Society/PBRC, 105 East 22nd Street,
8th floor New York, NY
10010
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Ship to: (Please Print)
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Name:
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__________________________________________________
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Position:
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__________________________________________________
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Organization:
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__________________________________________________
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Address:
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__________________________________________________
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City:
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__________________________________________________
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State:
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_________________________
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ZIP:
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_________________________
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Telephone:
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_________________________
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Fax:
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_________________________
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E-mail:
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_________________________
(E-mail must be included if ordering
PBRC Manual Online)
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Item
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Quantity
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Unit Price
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Total
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PBRC
Manual - Print Version
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$125
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PBRC
Manual - Online Version
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Orders placed:
Jan-Mar
$125
Apr-June
$100
Jul-Sept
$75
Oct-Dec
$50
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PBRC
Manual - Print & Online Version
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Orders placed:
Jan-June
$200
Jul-Dec
$175
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Bulk
Purchasing: PBRC Online Manual
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$200 for up to 5
employees
$25 each
additional employee up to 20
$600 flat for 21-50
employees
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*Online Subscription: Once PBRC receives payment, you
will receive an email with sign up instructions.
**Call PBRC for more information on the cost of multiple copies at:
212-614-5578
PBRC Manual Updates: Both the PBRC Manual print version and online
version are updated quarterly so you can stay on top of the ever changing
public benefits system. Updates are free for purchases through the end of
the calendar year, by subscription thereafter.