Order Form
10% discount for WCA and Next Leader Members.  To order  more than one product you must use separate order forms.

PLEASE FILL OUT COMPLETELY.

How did you hear about us?

Company


Next Leaders

NEXT LEADERSHIP ASSOCIATION

Address


WCA

WCA Member Number

City





State or Province


                    Zip 


Search Engine

 

Email


Tax Exempt #



 

Contact Name


Phone Number

Podium Style:

Color Desired
(Upright Part Only)

Original

$520.00   Plus s/h

Black

Contemporary

$495.00   Plus s/h

Titanium


Velocity



Contemporary Cross Podium


Original Teaching
Table (40" high)









$570.00  Plus s/h



$495.00   Plus s/h



$520.00   Plus s/h
 Shipping/Handling Zones
Zone 1: ID, MT, NV, OR, UT & WA- $66
Zone 2: AZ, CA, CO, ND & WY- $71
Zone 3: IA, IL, IN, KS, MI, MN, MO, NE, NM, OK, SD, TX & WI- $77
Zone 4: AL, AR, DE, DC, GA, KY, LA, MD, MS, NJ, OH, PA, TN & WV- $82
Zone 5:FL, CT, MA, ME, NC, NH, NY, RI, SC, VA & VT- $88
Zone 6: AK & HI- Contact for price.
These shipping prices are for individual podiums and side tables.  Communion tables are $170.  Plasma shipping is an additional $20 to the above listed rates.
Original Side Table


Contemporary Side Table

Velocity Side Table

Original Communion Table

Velocity Communion Table
















$520.00   Plus s/h



$495.00   Plus s/h



$570.00   Plus s/h


$1030.00   Plus s/h



$1132.00   Plus s/h

Contemporary
Communion Table
    $980.00 Plus s/h


Plasma Podium without screen (black)






$800.00   Plus s/h

Quantity

We Accept Visa, Mastercard or American Express.  Please put card number, expiration date and security code below.

Card Number: 

Expiration Date:

Security Code(3 digits on back of card):
Billing Address:

Zip Code:

Special Instructions
 

 
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