PP_SRP Order Form External

ORDER FORM – Non SD43
School District 43 (Coquitlam)
1100 Winslow Avenue 2nd Floor
Coquitlam, BC V3J 2G3
Ph# 604-937-6402 Fax# 604-936-6129
Email: [email protected]
ENGLISH PLAY POSTERS (25.00) PER SET OF 12
ENGLISH SELF-REGULATION POSTERS ($45.00) PER SET OF 12
FRENCH SELF-REGULATION POSTERS ($45.00 PER SET OF 12
PLUS SHIPPING COST:
$10.00 FOR (1-3 SETS)
$20.00 FOR (4-6 SETS)
$30.00 FOR (7-10 SETS)
more than (10 sets) (cost to be determined)
ORDERED FROM: Name of Organization: _______________________________________________________________
SHIP TO: __________________________________________________________________________________________
ADDRESS: _________________________________________________________________________________________
PHONE #: __________________________ E-MAIL: _______________________________________
CONTACT NAME: ___________________________________________________________________
PLAY POSTERS
SETS REQUESTED
$25.00 per set of 12
UNIT PRICE
TOTAL PRICE
+SHIPPING COST
TOTAL
TOTAL
PAYABLE
SELF-REGULATION POSTERS
SETS REQUESTED
UNIT PRICE
$45.00 per set of 12
TOTAL PRICE
+SHIPPING COST
TOTAL
TOTAL
PAYABLE
NEW
WWe
FRENCH SELF-REGULATION POSTERS $45.00 per set of 12
wnew
SETS REQUESTED UNIT PRICE
TOTAL PRICE
+SHIPPING COST
TOTAL
TOTAL
PAYABLE
We will ship the posters, with an accompanying invoice, to your organization. When you receive the posters and invoice, please send a cheque
payable to: School District 43 (Coquitlam); Attention: Gail Bogren, Learning Services, 1100 Winslow Avenue 2nd Floor, Coquitlam, BC V3J 2G3.
If you have any questions, please contact Gail Bogren at 604-937-6381 or email [email protected].
SD 43 does NOT make any revenue on the Posters, nor was that our intent. We care deeply that we share them with School Districts and
other organizations at the same cost as we have paid to have them produced, with lamination. We produced the play poster and the selfregulation posters for the purpose of supporting our Province in staying focused on the work of the child—PLAY.
Warmest regards,
Reno Ciolfi, Assistant Superintendent
Coquitlam School District
THANK YOU FOR YOUR ORDER!