APCA TEST | Mysite 1

11147569_10153110847407237_4979734140117

APCA COOPERATIVE BUYING FORM

Click Here for important terms incorporated into this document by reference.

School / Buyer

Address

Phone Number

Email

Buyer Discounts

3% FTE Cardholder Discount

5% FTE Cardholder Discount

7% FTE Cardholder Discount

10% Online Discount

Type of Interest

AI Attraction Interest

CB Commitment to Block

RC Request Contract

SPECIFIC DATE

Or Semester

Fall

Winter

Spring

Summer

Travel / Lodging Rider: THIS OVERRIDES ALL OTHER TRAVEL AGGREEMENTS

Thanks for your order!