ACT Calendar Order Form

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Please fill out this form to order a calendar. The calendars are $15 each. You will receive a confirmation once your order has been submitted. If you have any questions, please e-mail them to kstateact@gmail.com.

If you are mailing a check, please submit this form then print out the completed form and send it with the check.

Email *

Name *

Shipping address *

How many calendars would you like to order? *

Payment Information

Payments can be made by cash (in person or hand delivered only), check, or credit card

Checks can be made out to Kansas State University ACT and mailed (or delivered) to 1612 Claflin Rd, 301 Umberger Hall, Manhattan, KS 66506.

If paying by phone with a credit card, please call 785-532-5804 with card information.

Please select a payment method. *

Cash

Check

Credit Card

Please select a delivery method. *

Shipped to my address with extra $2 charge per calendar

Pick up in Umberger 301 after December 12

A student or local resident will pick it up in Umberger 301 for me

If someone is picking your calendar up for you, please list their name here.

A copy of your responses will be emailed to the address you provided.

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