WE_LEARN Order Form

Your Name

first name

family name

Your School

Email Address*
(Where your account
information will be sent)

Your Instructor

What Product do you want to buy?

Your Textbook

Method of Payment

Credit Card Number

Expiration Date on the Credit Card

Security Code on the Credit Card

The following information is needed to assist in the verification of the credit card.

Signature and/or Comments

The Person's Name, Exactly as it appears on the Credit Card

Billing Address

City

State

Zip

Daytime Telephone Number

Evening Telephone Number

This page is designed as an internet form that will allow you to give us all of the information that we need to credit your account. If you submit your credit card information on-line using this form, it is an unsecure connection and others may be able to see your information. Although there has never been a problem with this method (to our knowledge), Horizon Learning Solutions assumes no liability for information submitted this way. If you are concerned about this information being stolen, then please call us at 304-599-6621, where we will take your information directly and there will be no electronic record of your credit card information. Alternatively, security may be maintained by completing this page, then print it, and faxing it to 304-599-5806 or send it to us through the mail at
Horizon Learning Solutions
New Accounts Department
1534 Point Marion Road
Morgantown, WV 26508

Copyright © 1995-2006 - West Virginia University. All Rights Reserved. All materials on these web pages, the welearnhorizon.com website, and the we-learn-horizon.com website are copyright and subject to the laws of the United States of America.