In His Grace, Inc.
3006 Quincannon
Houston, Tx 77043

Voice (713) 934-8810
Fax (713) 462-2208

Order Information
Phone: (713) 934-8810
Fax:   Print this form and fax it to (832) 289-5281
Mail:  IHG, Inc., 3006 Quincannon Lane, Houston, Texas 77043

Terms & Conditions
Net 30 days, No Refunds

Shipping Information
($10 for first $100; $ 2.00 for each additional $100) Shipping & Handling

Catalog Number	Description	Pricing	Quantity	Cost
C-888	Personal Profile System (1-9)	$20.50
C-888	Personal Profile System (10+)	$20.50
W-528	PPSS Response Form - Pad of 50	$130
W-533	PPSS Role Analysis-Pad of 50	$130
W-500	Clicks	$7.00 each
	(one basic report requires 7 clicks)	$50
	(one sales report requires 3 clicks)	$20
IHG-107	NEW - Team Building Survey	$6
			Subtotal
			Tax
	Shipping and Handling		Shipping
			Total

Shipping Address

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Address
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E-mail

Billing Address
  Check if same as shipping address

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E-mail

Billing Information

Purchase Order #
Credit Card #
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Credit Card
Expiration Date		Month		Year

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