Orlando Ward & Associates, Inc.

Name:
Title:	(i.e. Manager)
Company
Shipping Address 1:
Shipping Address 2:
City:	State: Zip Code:
Phone:	(i.e. 619-123-4567)
*E-mail:
Credit Card Type:
Credit Card Number:	Expiration Date: (mm/year)
Name on the Card:
Security Code:	(3-4 digits, usually found on signature strip)
Billing Address 1:
Billing Address 2:
City:	State: Zip Code:

*NOTE: After receiving your order, we will email you requesting an electronic copy of your company’s harassment policy and a list of resources that your employees can contact to report harassment.
DELIVERY: Usually within 10-14 business days of receipt of your company’s policies and resources.
ADDITIONAL PROGRAMS: $150.00/set (shipping is free if by UPS ground; call 619-461-6777 for faster delivery and rates).