KAPOW SUPPLY ORDER FORM |
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ORDERED BY |
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PHONE/
FAX/EMAIL Phone: ( ) ____________________ Fax: ( ) ____________________ Email: _______________________ |
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DATE ORDERED |
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DATE NEEDED |
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AFFILIATE/PARTNERSHIP TO
BE BILLED |
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SHIPPING ADDRESS |
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Quantity
Ordered |
Item |
Price |
Total
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Curriculum Book |
$34 |
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Certificate of Appreciation |
$1 |
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Student Video |
$15 |
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Orientation Video |
$17 |
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Student Pack (folder, bookmark) |
$3.50 |
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Program Manual Worksite Visit Manual |
$26 |
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$22 |
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Training Manual |
$22 |
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Affiliate Manual |
$25 |
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Paper Cube |
$6 |
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Mouse Pad |
$7 |
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Pencil |
$.50 |
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Water Bottle |
$7 |
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T-shirt |
$11 |
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KAPOW stickers sheet |
$ 2 |
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Total Cost of Order $ |
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Orders
sent standard ground UPS unless otherwise specified. |
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