KBA Paraphernalia Order Form
| Contact Person: | |
| Name of School: | |
| Shipping Address: | |
| Telephone: | |
| Email: |
| ITEM DESCRIPTION | QUANTITY | PRICE PER ITEM/PKG | TOTAL |
| KBA Stamp | $5.00 | ||
| KBA Lapel Pin | $6.00 | ||
| KBA Bookmarks (100/package) Indicate # of packages and levels ___K-2 ___3-5 ___6-8 ___9-12 |
$7.00 | ||
| KBA Pencils (25/package) | $6.00 | ||
| KBA Silver Winner Seals for front of books (12/package) | $9.00 | ||
| KBA Spine Labels for nominated books (40/package) | $4.00 | ||
| TOTAL PAYMENT ENCLOSED: |
| Mail payments to: Kentucky Bluegrass Awards c/o Kate Montgomery Eastern Kentucky University Libraries 521 Lancaster Drive Richmond KY, 40475 |
For Office Use Only Received:____ Check Date:____ Check Amount:____ Check #:____ Date Shipped:____ |
Make checks payable to: Kentucky Reading Association/KBA
Please allow several weeks for delivery.
updated: Thursday, 03-Aug-2006 14:11:22 EDT