3878 ORDER FORM

ORDER FORM

print this page and send to:
Love and Learning
P.O. Box 4088
Dearborn, MI 48126
Questions call: 313 581 8436 (Joe and Susan Kotlinski)


Name:___________________________________________

Address:_________________________________________

City:__________________________State:__________Zip:_________

Day Telephone__________ Evening Telephone__________

Child's Name:___________________________________________

Birthdate:________________ Disability (if any):________________
Prices for orders in the U.S. and Canada
1 Kit.....$62
2 Kits....$118
3 Kits....$177
4 Kits....$236
5 Kits....$295
6 Kits....$354
(These prices apply to any combination of kits & include postage)
25% restocking fee for returned materials.

Amount Enclosed_________ U.S. Funds Only (MI residents include 6% sales tax) [Make checks payable to Love and Learning]

For: (please check)
Kit #1 Alphabet ________
Kit #2 50 FUN-damental Words ________
Kit #3 FUN-damentals and More ________
Kit #4 Words, Words and More ________
Kit #5 Developing Conversational skills and Vocabulary ________
Kit #6 Advanced Conversational Skills ________

Is this your first Love and Learning purchase? Yes______ No_____

How did you learn about Love and Learning?__________________

______________________________________________________

You can also e-mail us your street address and we will send you our brochure via the postal service. Our e-mail address is Lovlearn@concentric.net.