Your Name:
__________________________________________
Mailing Address:
______________________________________
City, State, Zip:
_______________________________________
Method of payment:
Personal Check ___ Money Order ___
Kits Ordered (enter # of
kits):
_____ 1-3 children ($30 each*) or _____ 3-6
children ($35 each*)
Shipping Cost:
$_______ (For 1-3 add $3.00 ; for 3-6 add $4.25 )
Total Amount Enclosed:
$________________
Print and send to us
at this address (call if any questions):
The
Learning Zone
3912 Pleasant Street
Des Moines IA 50312
Phone: (515)274-6628 Fax: (515)237-4911
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