Four Easy Ways to Order:

 Call

1.800.657.3815

 Fax

Print and fax this page to 507.345.7574

 Email

Send an email order to info@tensigma.org
Mail
Print and mail this page to

Ten Sigma
PO Box 846
Mankato, MN 56002-0846

 Order Form

1. SHIP TO 2. BILL TO (If different from SHIP TO)
Attention    Attention   
Title or Position   Title or Position  
School or District   School or District  
Street Address   Mailing Address  
City/State/Zip   City/State/Zip  
Phone   Phone  
 
3. PAYMENT METHOD
  CHECK ENCLOSED   PURCHASE ORDER Number :
CREDIT CARD PAYMENT          Visa           Mastercard
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Name on Card  
Signature  
 
4. SELECT ITEMS TO ORDER

Rubrics for Transition Products

 Product
Code		 Quantity Price
Each		 Total

Rubrics for Transition—Manual only

       
Rubrics for Transition I: for Higher-Functioning Students Manual W-410  

$100

  
Rubrics for Transition II: for Lower-Functioning Students Manual W-430   $100  
Rubrics for Transition III: for Autism Spectrum Students Manual W-440   $100  
Rubrics for Transition IV: for Students With Severe Disabilities Manual W-460   $100  

Rubrics for Transition—Manual with CD-ROM

        
Rubrics for Transition I: for Higher-Functioning Students Manual & CD-ROM W-412   $145  
Rubrics for Transition II: for Lower-Functioning Students Manual & CD-ROM W-432   $145  
Rubrics for Transition III: for Autism Spectrum Students Manual & CD-ROM W-442   $145  
Rubrics for Transition IV: for Students With Severe Disabilities Manual & CD-ROM W-462   $145  

Activities, Management Software

Product
Code		 Quantity Price
Each		 Total

Transition Activities—Online Access
One Year Subscription for One Person

W-420   $50  
Targeting Transition Management Software
W-413
$50
  

Activities—Hard Copy

Product
Code		 Quantity Price
Each		 Total
Transition Activities 7-manual set:
• Workplace Skills & Attitudes
• Responsibility
• Interacting with Others
• Basic Academic Knowledge
• Planning for Success
• Habits of Wellness
• Computer & Internet Skills		 W-327   $395  

Evaluation Products

 Product
Code		 Quantity Price
Each		 Total

Rubrics for Transition 4-manual set with CD-ROMs
(Includes one each, items W-412, W-432, W-442, W-462)

W-451   $450  

Rubrics for Transition 4-manual set with CD-ROMs plus online access to activities for 2 users
(Includes one each, items W-412, W-432, W-442, W-462, and 2 of item W-420)

W-453   $500  
If order subtotal #3 is: Shipping and handling is:
Standard Ground 2nd Day Air Next Day Air
$0–$300 $10.00 $20.00 $30.00
$301–$600 $20.00 $40.00 $60.00
$601–$1,200 $30.00 $60.00 $90.00
$1,201+ 3% of total 5% of total 8% of total
SUBTOTAL    $   
SHIPPING & HANDLING    $   
ORDER TOTAL    $