iota Store Order Form

Ship to:

Name:

Organization:

Address:

City, State, Zip:

Phone:

Email:

Items:

Quantity	Catalog Number	Title	Unit Price	Total Price
		Subtotal:
		Shipping: (U.S. - $7.00, Canada - $10.00, International* - $15.00)
		(California Residents Add 8.25%)  Tax:
		Total

*International Customs Charges and Duties

Please make check payable to The iotaCenter and mail with order form to:

The iotaCenter,

10401-106 Venice Blvd., #330

Los Angeles, CA 90034

(310) 842 8704

store@iotaCenter.org