California Department of Justice BLOODBORNE PATHOGENS Order Form
Name: __________________________________________________________
Agency or Company: _______________________________________________
Shipping Address: _________________________________________________
Telephone: __________________________ Fax: _________________________ email:_________________________________________________
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Cost |
Location |
Tax % |
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$150 One Site |
Within Sacramento |
7.75% |
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$100 Additional Sites |
Outside Sacramento |
7.25% |
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i.e. 2 sites=$250, 3 sites = $350, 4 sites=$450 |
Out-of-State |
0% |
All training packages purchased will be sent to the shipping address identified above. Please list the complete address for each physical location the program is being purchased for:
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Street Address |
City |
State |
Zip |
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If you want customized "login" job classification buttons (e.g., Criminalist, Forensic Chemist, Deputy Coroner, Evidence Technician, Latent Fingerprint Examiner, Office Technician, Secretary, Toxicologist, etc.) for your personnel, please list the job titles as you want them to be displayed in the program and documented on records.
Please make your check payable to the California Department of Justice, and return the Order Form with your payment to:
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Department of Justice California |
No. of packages purchased: $___________ |
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California Criminalistics Institute |
Sub-total Cost for units purchased: $_______ |
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4949 Broadway, Room A-104 |
Sales Tax: $ _________________________ |
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Sacramento, CA 95820 |
Total Amount Enclosed: $_______________ |