Printable Order Form - Just print, complete, and mail or fax it in.
Family Bingo Program Order Form
*Pricing Schedule
Delivery/Billing Information
Name:______________________________
School/
Organization:_______________________
Address:___________________________
City:_______________________________
State:___________ Zip:______________
Telephone:_________________________
0-100 students
101-200 students
201-300 students
301-400 students
401-500 students
501-600 students
$149.00
$199.00
$249.00
$299.00
$349.00
$399.00
This fee provides the user with permission to annually reproduce the master copies of this program for the number of students
indicated by the purchase prices listed above. For use with more than 600 students please place multiple orders.
Item #
Quantity
Description
Size of intended student population
Cost (see *pricing schedule)
Total
30
The Family Bingo Program
Subtotal
Shipping and Handling ($6.50
per program, or 10% of subtotal for orders outside of the U.S)
WI residents add 5% sales tax
Total
Method of Payment
____ Check (make checks payable to Learning Innovations)
____ Purchase Order
____________________________________
Purchase Order No.
