AAUW MEMBERS ORDER FORM

Federal ID Number—54 -0805373

How To Order
Mail this order form with your check or purchase order to Fairfax Network 4414 Holborn Avenue Annandale , VA 22003
Fax this order form (purchase orders only) to 800.633.4290 To order by credit card, please contact Faithe Smith at 800.233.3277

VHS: $15 AAUW MEMBERS ONLY

First Name
Last Name
Your Profession
Organization
Street Address
Extra Address Line
City
State
ZIP Code
Phone -include area code!
E-mail

Payment Method		Purchase Order Mail-in check or money order
If paying by Purchase Order, enter purchase order number.

Fairfax Network
4414 Holborn Avenue
Annandale, VA 22003
Voice: 800-233-3277
Fax: 800-633-4290
Email: VideoOrders@fcps.edu