Products Order Page (Please Print):
Facility Name: ____________________________________________________
Contact Person: ___________________________________________________
Street Address: ___________________________________________________
City: ______________________________ State: _______ Zip: _____________
Telephone: ______________________________________________________
Email: __________________________________________________________
Please place an X beside the theme box(es) you wish to purchase.
| Be My Valentine | St. Patrick’s Day | ||
| Easter | Green Thumb | ||
| Motherhood | Mexican Fiesta | ||
| Our Veteran’s | For Men Only | ||
| Summer Fun | Independence Day | ||
| Hawaiian Paradise | Autumn Harvest | ||
| Man’s Best Friends | Grandparents Are Special | ||
| Boo!!! | Giving Thanks | ||
| Christmas Holiday | New Years | ||
| Bees, Bugs and Birds | Colorado History |
|
# of Boxes x $19.95 each |
$ |
|
Comfort and Joy Manual x $19.95 |
$ |
|
All Staff Activity In-Service (Bingo Style) x $14.95 |
$ |
| Total Amount Enclosed |
$ |
Make Checks Payable to: Victoria J. Platt
Send order form to:
Victoria PlattInnovation in Recreaton7547 Liberty Bell DriveColorado Springs, CO 80920Thank you for your order!!!!
