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Writing Assistance Order Form - Print Form

Writing Assistance Pricing Policy
Please PRINT and FILL OUT the following information.
For faster service, please complete and submit the ONLINE ORDER FORM
1. Student's Information
Name____________________________________________________________________________________________
First
Last
Mailing Address____________________________________________________________________________________
City__________________________________ State_______________________________ Zip___________________
Phone_______________________ Fax________________________ E-mail__________________________________
Name of university/college currently attending_______________________________________________________________
How did you hear about BHA's Writing Assistance Service? rInternet rPeriodicals rWord-of-Mouth rMail rOther_______
2. Order Information
Type of
Work__________________________________________________________________________
Research paper, Essay, Term paper OR Thesis/Dissertation
Level of
Writing________________________________________________________________________
Undergraduate or Graduate/Post-Graduate
How many pages of text are we proofreading,
editing, polishing and rewriting__________pages (Remember that there are
approx. 225 words of text on a page. - there is a 3-page minimum)
Academic level & urgency price: Number of pages:______________ X price per page = $ __________________
Delivery Option
______________________________________________________________________________________
E-mail
($US 1/pg), Fax ($US 2/pg), First Class ($US 3/pg), FedEx$US 2/pg + $25.00 flat charge)
Total Fee - ($USD) Academic level & urgency price PLUS delivery option: $______________________
Topic of your paper_____________________________________________________________________
Format in which you want your paper
written________________________________________________
MLA, APA, Turabian, Chicago, or Harvard
Due Date of Paper: Month _____________________________ Day__________ Year_________
How will you submit your assignment to
us:_______________________________________________________________
E-mail (DOC preferred; RTF if necessary), Fax or Postal Service
3. Additional Comment
Please be as specifc as possible so we can assist you in
writing your paper that fulfills all your assignment requirements.
Call us at: (203) 929-9186 for any additional comments.
I. _________________________________________________________________________________________
II. _________________________________________________________________________________________
III. _________________________________________________________________________________________
IV. _________________________________________________________________________________________
V. _________________________________________________________________________________________
VI. _________________________________________________________________________________________
4. What are the best days and times to reach you to discuss your paper?
5. Total Fee
Writing Assistance academic & urgency level: $________ + Delivery Option: $___________ = Total Fee: $__________
6. Agreement
I have read and understand the
information presented about the Writing Assistance Service. I understand that BHA
Education Consultants
will not commence working on my assignment until the Total fee: $_____________ is
received.
Signature_________________________________________________________________________
Date_____________
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