Order Form

Printable Order Form - Just print, complete, and mail or fax it in.

Family Bingo Products
*Item #*	*Description*	*Cost*
#300	Accessory Kit (includes highlighter, magnet, and resealable bag)	$2.75 each
#500	Family Magnet (minimum order of 25)	Quantity 25-50 51-100 101-500 500+ cost per item $1.05 $.90 $.80 $.65
#600	Family Bingo Highlighter (minimum order of 25)	Quantity 25-50 51-100 101-500 500+ cost per item $1.80 $1.65 $1.55 $1.45
#400	Resealable Bag (minimum order of 25)	$.25 each

Family Bingo Order Form
Item #	Quantity	Description	Price	Total Price	Delivery/Billing Information Name:______________________________ School/ Organization:_______________________ Address:___________________________ City:_______________________________ State:___________ Zip:______________ Telephone:_________________________

Shipping and Handling		Shipping and Handling Orders under $50.00 --- $5.00 S & H Orders over $50.00 -- 10% of order
Subtotal
WI residents add 5% sales tax
Total

Method of Payment
____ Check (make checks payable to Learning Innovations)
____ Purchase Order

____________________________________________

Purchase Order No.
____________________________________________

Authorized Signature

Mail or Fax your order to:

Learning Innovations

1134 Westwood Lane

Manitowoc, WI 54220

Phone: (920) 682-3773

Fax: (920) 682-3773