AVI Merchandise Form

Please print and send this Order Form with your payment to:

Auditory-Verbal International, Inc.®
2121 Eisenhower Ave., Suite 402
Alexandria, VA 22314


AVI Baseball Cap $12.00 AVI Tote Bag

$11.00

AVI T-Shirt $10.00 AVI Mug

$6.00

AVI Sweatshirt $18.00 Captain Crayfish and the Treasure Chest $5.00

Name  
Address  
City/State/Zip  
Country  
E-mail   

Item(s) Size Color Price # of items TOTAL
 

  VA Resident?  VA residents add 4.5% Sales Tax to price (exclusive of shipping/handling)

Sub TOTAL

* Please contact AVI
for shipping charges

Shipping and Handling *

Grand TOTAL


Payment Method:  
Name on Card:  
Account No:    Expiration:

Signature:      
(I specifically authorize AVI to charge the total indicated on this form to my credit card.)

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