Form 1008 Ffp - Replacements Order Form Page 2
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1
2Replacements ORDER FORM
'
It
s easy!
... replace lost Family Fun-packs!
... add a few extras to your Family Fun-Pack sets!
... ORDER ADDITIONAL Family Fun-Pack SETS!
Order Billed to:
Order Shipped to:
Name ______________________________________________
Name ______________________________________________
School or District ____________________________________
Position, Grade, Title _________________________________
Home
School or District ____________________________________
Address ____________________________________________
School
Home
Address ____________________________________________
School
City ______________________ State ______ Zip __________
City ______________________ State ______ Zip __________
Purchase Order Number _____________________________
Work Phone ( ________ ) _____________________________
Authorizing Signature _______________________________
Home Phone ( ________ ) _____________________________
Title of Person Signing _______________________________
(Both phone numbers required for credit card orders.)
Payment Method:
Credit Card
School PO
Check
Date of Order________________________________________
Credit Card Number
Expiration date
Mastercard
Visa
AmEx
(Cardholder’s home address required above for credit card orders.)
Month - Year
Qty.
ITEM
description
level
price ea. total
Every SET CONTAINS 24 DIFFERENT FAMILY FUN-PACKS PLUS TEACHER MATERIALS!
PA-831
En Español & English - Level R Math/Rdg Readiness Set & 24 audio CDs
349
PK, K, 1ST
95
PA-833
En Español & English - Level P Beginning Reading Set & 24 audio CDs
349
1.0 - 2.0
95
PA-834
En Español & English - Level A Reading Set & 24 audio CDs
349
1.5 - 2.5
95
PA-632
Easy Reading in Spanish - Family Fun-Pack Set
249
2.0 - 3.0
95
PA-631
Level R Readiness - Family Fun-Pack Set
249
PK, K, 1ST
95
(Includes math & reading!)
PA-633
Level P Reading - Family Fun-Pack Set
249
1.0 - 2.0
95
PA-634
Level A Reading - Family Fun-Pack Set
249
95
1.5 - 2.5
PA-635
Level B Reading - Family Fun-Pack Set
249
2.0 - 3.5
95
PA-636
Level C Reading - Family Fun-Pack Set
249
3.0 - 4.5
95
PA-637
Level D Reading - Family Fun-Pack Set
249
95
4.0 - 5.5
PA-733
Level A Math - Family Fun-Pack Set
249
Reviews 1st gr.
95
PA-734
Level B Math - Family Fun-Pack Set
249
Reviews 2nd gr.
95
PA-735
Level C Math - Family Fun-Pack Set
249
Reviews 3rd gr.
95
PA-736
Level D Math - Family Fun-Pack Set
249
Reviews 4th gr.
95
PA-737
Level E Math - Family Fun-Pack Set
249
Reviews 5th gr.
95
PA-111
Collection 111 -
950
All 4 Primary Level Family Fun-Pack Reading Sets: R, P, A & B
PRIMARY
00
PA-600
Collection 600 -
1425
All 6 Family Fun-Pack Reading Sets: R, P, A, B, C, D
ALL
00
PA-500
Collection 500 -
2612
All 11 Family Fun-Pack Sets: Six Reading & Five Math
00
ALL
PA-700
Collection 700 -
1425
All 6 Family Fun-Pack Math Sets: R, A, B, C, D, E
ALL
00
PA-800
Collection 800 -
999
All 3 Family Fun-Pack Dual Language Span/Eng Sets: R, P, A
Dual Language
00
Total for all Replacement Parts from other side
Order from sole source: Frog Publications, 11820 Uradco Place, Suite 105, San Antonio, FL 33576-7139.
SUBTOTAL
**Shipping/handling in continental US:
SALES TAX*
UPS/Priority Mail: $7.00 for orders up to $46.00; 15% for orders over $46.00.
*Sales Tax: Residents of, or sales made in FL-7%, NC-6.75%, NJ-7%, SD-4.5%.
SHIPPING/HANDLING**
By law, tax exempt status applies only when an institution pays the publisher directly.
TOTAL in U.S. $
Phone: 800-777-3764
Fax: 352-588-0863
(Only complete sets online.)
FORM 1008 FFP Replacements2.ai
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