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Order Form

668 Stony Hill Road, PMB #233 Yardley, PA 19067
(215) 321-5556 FAX orders (215) 321-1321
info@mathinmotion.com - www.mathinmotion.com


Name___________________________________________________________________________
Street Address__________________________________________________________________
City/State/Zip___________________________________________________________________
Day Phone_____________________________Eve Phone________________________________
Email Address__________________________________________________________________
School_________________________________________________________________________
District________________________________________________________________________
Position/Grade_________________________________________________________________
Date_________________________
Payment Enclosed: Please make payable to Math in Motion
Check   Money Order   Purchase Order Attached
Please Contact Me About Workshops At My School
Possible Dates__________________________________________________________________
Item Quantity   Discount Price Amount
Whale of a Tale Book   x
$14.95 =
  
Math in Motion Book   x
$19.95 =
  
MIM Resource Kit   x
$34.95 =
  
Origami Class Paper Pack   x
$14.95 =
  
Thank you for your order!
A percentage of sales is donated to children's
organizations that support global education.
Quantity discounts available


Shipping and Handling
Orders up to $25.00, add $5.00
Each additional $25.00, add $2.50
Quantity, Rush and International Orders,
Call: (215) 321-5556 		Order Amount  
PA Residents Sales Tax 6%  
S & H  
Total Amount