Order Form

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

Order Form - Family Bingo Kits
Item #	Quantity	Description	Price	Total Price	Delivery/Billing Information Name:______________________________ School/ Organization:_______________________ Address:___________________________ City:_______________________________ State:___________ Zip:______________ Telephone:_________________________
#2900		Kindergarten Family Bingo Kit	$6.95
#2910		1st Grade Family Bingo Kit	$6.95
#2920		2nd Grade Family Bingo Kit	$6.95
#2930		3rd Grade Family Bingo Kit	$6.95
#2940		4th Grade Family Bingo Kit	$6.95
#2950		5th Grade Family Bingo Kit	$6.95
#2960		6th Grade Family Bingo Kit	$6.95

Shipping and Handling		Shipping and Handling $2.00 for 1-3 kits $3.00 for 4-6 kits $4.00 for 7-9 kits 10% of cost for 10 or more kits
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