PURCHASE ORDER / ESTIMATE REQUEST

PURCHASE ORDER / ESTIMATE REQUEST

Please Note: unless advised, where possible, orders containing multiple different kits will be boxed together to help the environment and save packaging. If you would like your kits packed individually please let us know in the Special Instructions section of this form. Thank you!
Are you submitting an Estimate Request?
Are you submitting a Purchase Order?
PO Number
If submitting your PO, this number will be used track it after you also upload.
PO File Upload

Browse Files
Please re-name all files to include your School/Organization name before uploading so we can more easily identify your PO. Ex: cottage-school-PO-2018-0209.pdf Cancelof
BILLING

We must have the correct billing address and phone number to process your request. For most schools, this would be your School District administrative office.
Has your District or Organization ordered from us in the past? *

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School/Organization*
Contact*

First NameLast Name
Email*
example@example.com
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Zip / Postal CodeCountry
Accounts Payable Phone Number*

Area CodePhone Number
Accounts Payable FAX Number

Area CodePhone Number
SHIPPING
School/Organization*
Contact*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

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Any Special Instructions
SELECT PRODUCTS
Please NOTE that Tasks 1-16 are only available as part of the Basic Curriculum Set.
Also, remember to enter accurate quantities, not just check the item box.
PRODUCTS*
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BASIC Curriculum / Tasks 1-16$508

Quantity

ADVANCED Curriculum / Tasks 17-37$995

Quantity

FINE MOTOR SKILLS Set / Tasks 21, 22, 24, 28, 29, 31 and 35$310

Quantity

MOTIVATIONAL Set / Tasks 17, 25, 27 and 34$193

Quantity

PRE-ACADEMIC Set / Tasks 18, 20, 26, 30, 32, 33 and 36$345

Quantity

PRE-VOCATIONAL Set / Tasks 19, 23 and 37$147

Quantity

ASSESSMENT KIT / Tasks 2, 8, 11, 14, 16 and 17$225

Quantity

TASK 17 - Red Buttons in Water$44

Quantity

TASK 18 - Bead Stack$44

Quantity

TASK 19 - Megablok Assembly$45

Quantity

TASK 20 - Letter, Shape, Number, Color Match$59

Quantity

TASK 21 - Bead Slide$44

Quantity

TASK 22 - Lacing$45

Quantity

TASK 23 - Match, Assemble, Package$54

Quantity

TASK 24 - Pipettes$43

Quantity

TASK 25 - Flex Tube$48

Quantity

TASK 26 - Color Match Sequence$45

Quantity

TASK 27 - Drum Roll$50

Quantity

TASK 28 - Pom Poms$44

Quantity

TASK 29 - Closure$47

Quantity

TASK 30 - Bead Patterns$45

Quantity

TASK 31 - Stretch$45

Quantity

TASK 32 - Shape Up$45

Quantity

TASK 33 - Around The Block$54

Quantity

TASK 34 - Positive Attraction$51

Quantity

TASK 35 - Twister$43

Quantity

TASK 36 - Bullseye$53

Quantity

TASK 37 - Variations$48

Quantity

MYSTERY BAG$10

Quantity

FOLDER TASKS (4)$35

Quantity

EDUCATIONAL CD$20

Quantity

SHOEBOXTASKS HANDBOOK$25

Quantity

TEACCH INSTRUCTIONAL DVD$20

Quantity

Total $0.00
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PURCHASE ORDER / ESTIMATE REQUEST

BILLING

SHIPPING

SELECT PRODUCTS