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ORDERING OPTIONS
SHIPPING INFORMATION: Mail, phone or website

Name: ____________________________________ Business Name: ________________________________
Address: __________________________________________________PO Box: _______________________
City: ____________________________________________ State: ____________Zip:___________________
Daytime Phone: ___________________________ Email Address: __________________________________
Check here to receive exclusive offers from CAC via email Prices subject to change.
Curriculum How many Choose one of the following options.
children?
School Year Curriculum Number of 1 Month 3 Months 6 Months 9 Months
runs Children For the month Starting Month: Starting Starting Month:
September
of:
________________ Month:
September - May Ending Month: Ending Month:
________________ May
Jumping Kangaroo
Tiny Tots
Son Shine
Little Disciples
Summer: Jumping Kangaroo
Summer: Tiny Tots
Baby Bear Infant Curriculum– $89.99 Quantity?
Description Quantity Product Price Total Price
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Total Curriculum Price: $
Automatic Charge Program (check if you want monthly) Your account
is charged automatically on the 10th of each month. If you want to change your Extra Instruction Booklets: $5.00 each
order, call before the 5th of the month. We offer this service free of charge.
Additional Products:
Visa, MasterCard & Discover Curriculum Shipping:

Charge Card No:
_____________-_____________-_____________-_____________ Products Shipping (with Curriculum):
Products Shipping (without Curriculum):
Expiration Date: _____________ CVV____________

Signature: _______________________________________________ MN Customers add State Sales Tax
6.875%:
Grand Total:
Carol's Affordable Curriculum, 40263 155th Ave., Avon, MN 56310 Toll Free: 1-877-746-8128, www.CarolsCurriculum.com