order form 

You may order online, by fax, or by snail-mail.

To Order Online: Complete the Following Form.  Use the Tab key to move through the form.  Click the "Submit" button at the end.  Online orders must pay by credit card. You will receive a confirmation of your order.

To order by fax.  Print out this page, complete the form, and fax to 603-776-7411.  Fax orders must pay by credit card.

To order by mail:  Print out this page, complete the form and mail to Moving & Learning, 19 Georgetown Drive, Center Barnstead NH 03225.  Enclose check, money order, or credit card information.

 

Please provide the following contact information: Starred * information is required.

*First Name

 

*Last Name

 
Title

Organization

*Address

 

Address (cont.)
*City   *State/Province
*Postal Code   *Country  
 *Phone   FAX
*E-mail  

Please provide the following ordering information:

TITLE                                                                                       QUANTITY

PRICE

 TOTAL
A Running Start $15.95
Your Active Child $14.95
Teachable Transitions $14.95
Moving & Learning Series: Toddlers $35.00
Moving & Learning Series:  Preschoolers & Kindergartners $35.00
Moving & Learning Series: Early Elementary Children $35.00
Moving & Learning across the Curriculum, 2nd Edition $19.95
Wiggle, Giggle, & Shake -- the Book $19.95
Wiggle, Giggle, & Shake -- the CD $15.95
Wiggle, Giggle, & Shake -- the Book & CD together! $32.00
Great Games for Young Children $14.95
Jump into Literacy $14.95
Jump into Math $14.95
*Total items/Subtotal

*Shipping & Handling: $5 for first item, plus $3 for each additional item.  In Canada, add $6.25 for first item, plus $3 for each additional item.

  
*Grand Total

Enter SHIPPING ADDRESS if different than billing address:

Organization (if order is to be shipped there)

Street Address
City State/Province
Postal Code Country
Payment Method Check
Money Order
Credit Card Card # 
Card Type     Master Visa
Expiration Date 

Signature

(for mail or fax orders)

Please add any comments or notes below:

 

If for any reason you are not completely satisfied with your purchase, simply return it within 30 days of the date of your purchase (in mint condition, please) and your money will be cheerfully refunded in full.


Revised: July 11, 2008