UCOSA
Berkeley Study Guide
Order Form

Type the required information in the spaces below, print out this form, and then mail it to the address shown at the bottom, with your check or money order in US dollars ($).

Fill in the information on this web page and then print it out.
Make your check payable to UCOSA in US dollars.
Customers in Canada must send international money orders from an international bank in lieu of personal checks.
Email all questions and comments regarding the Berkeley Study Guide to the UCOSA Executive Vice President at ucbguide@gmail.com.

Name:
School:
Mailing Address:

	(No P.O. Boxes, Please!)
Phone:
E-Mail:

Quantity / Subtotals / Shipping:
Part I: Applied Basic Sciences ($105 ea.)	Qty: Subtotal (USD $):
Part II: Clinical Sciences ($95 ea.)	Qty: Subtotal (USD $):
U.S. and Canada Ground Shipping (Add $7.00 per guide)	Qty: Subtotal (USD $):
International Shipping (Outside U.S. and Canada)	Qty: Subtotal (USD $):
Contact us at ucbguide@gmail.com for other International Shipping fees.
Total Amount Enclosed
Please make checks or money orders payable to UCOSA.

Please send all orders to:

Executive Vice President
UCOSA, School of Optometry
360 Minor Hall
University of California
Berkeley, CA 94720-2020

* Please note that once we receive your order, delivery will take approximately 3 weeks. Thanks for your support!

UCOSA Berkeley Study Guide Order Form

UCOSA
Berkeley Study Guide
Order Form