Order form
for 5 Minute Kids™
Shipping
Information: Name:___________________________
Address:_________________________
City/State/Zip_____________________
Phone:__________________________
|
Item |
Unit Price |
Quantity |
Total Price |
|
5 Minute
Kids™Complete Kit* |
$35.00 |
|
|
|
100 Goal
stickers (10 sheets) |
$3.00 |
|
|
|
100
Homework stickers (10 sheets) |
$3.00 |
|
|
|
48
Medicaid stickers (2 sheets) |
$1.00 |
|
|
|
|
|
Subtotal |
|
|
|
|
Shipping |
FREE |
|
|
|
Total |
|
|
*Complete
kit includes 50 homework/goal stickers and 48 Medicaid stickers |
|
|
|
Send Payment to:
Sue
Sexton
Lapeer,
MI 48446
810-664-5388
FAX:
810-356-5445
7-1-07