KBA Paraphernalia Order Form
| Contact Person: | |
| Name of School: | |
| Shipping Address: | |
| Telephone: | |
| Email: |
| ITEM DESCRIPTION | QUANTITY | PRICE PER ITEM/PKG | TOTAL |
| 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) | $4.00 | ||
| KBA Spine Labels for nominated books (40/package) | $4.00 | SHIPPING and HANDLING: | $4.00 |
| TOTAL PAYMENT ENCLOSED: |
| Mail payments to: Kentucky Bluegrass Awards C/O Michael A. Martin Appalachian Partnership for Literacy Development 201 Combs Bldg 521 Lancaster Drive Richmond KY, 40475 |
For Office Use Only Received:____ Check Date:____ Check Amount:____ Check #:____ Date Shipped:____ |
Make checks payable to: APLD / KBA
Please allow several weeks for delivery.
updated: Tuesday, 20-Oct-2009 11:37:39 EDT