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	Print this page and send a check or money order to: Love and Learning 9828 Melrose Livonia, MI 48150 Questions call: 734 744 7601(Joe and Susan Kotlinski)
		If you would like to pay by charge, please email us at kotlin@ameritech.net and let us know how many kits you would like to order. We will send you an invoice via PayPal along with instructions. DO NOT SEND YOUR CREDIT CARD INFORMATION TO US IN AN E-MAIL. There will be a small PayPal fee included.
Name:___________________________________________ Address:_________________________________________ City:__________________________State/Prov:__________Zip:_________ Home Phone:_____________ Email Address:______________________ Child's Name:___________________________________________ Birthdate:________________ Diagnosis (if any):________________ Contact your local support agencies (eg. The Arc, Early Intervention, Early/Head Start, Lions Club, Elks, Eagles, Kiwanis, Civitans and United Cerebral Palsy) for assistance in covering the cost of these materials. Prices for orders in the U.S. only--shipping included. Contact us for international shipping. Quantity of learning kits: One Kit.............Total $64 Two Kits..........Total $120 Three Kits.........Total $180 Four Kits..........Total $240 Five Kits...........Total $300 (It usually takes 5 or 6 learning kits to enable a child to read other children's books) Six Kits.............Total $360 Seven Kits........Total $420 (These prices apply to any combination of kits & include postage) Computer Program #1....$24 if ordered with one or more learning kits....$29 if ordered separately Computer Program #2....$24 if ordered with one or more learning kits....$29 if ordered separately If both computer programs are purchased without a learning kit..............$53 Totally Words Downloadable Computer Programs (totallywords.com): Totally Words #1..........$35 Totally Words Rhyming..........$35 Picture-Word Matching..........$35 Word-Word Matching..........$35 All four computer programs purchased at once..............$130 25% restocking fee for returned materials. We do not cover postage. Materials cannot be returned after 60 days after purchase. Amount Enclosed_________ US Funds Only (MI residents include 6% sales tax) [Make checks payable to Love and Learning] ______ Kit #1 Alphabet Learning Kit ______ Kit #2 50 FUN-damental Words Learning Kit ______ Kit #3 FUN-damentals and More Learning Kit ______ Kit #4 Words, Words and More Learning Kit ______ Kit #5 Developing Conversational skills and Vocabulary Learning Kit ______ Kit #6 Advanced Conversational Skills Learning Kit ______ Kit #7 Amazing Words Learning Kit ______ Computer Program #1: abc, words and more (Your Child's First Computer Program) ______ Computer Program #2: Introduction To Crossword Puzzles ______ Totally Words #1 ______ Totally Words Rhyming ______ Picture-Word Matching ______ Word-Word Matching Computer requirements: IBM/compatible, Windows 95/98/ME/XP,Vista (screen resolution of 800 by 600.) Compatible with Macs only if there is a program that allows Windows OS to run on it. Is this your first Love and Learning purchase? Yes______ No_____ How did you learn about Love and Learning?__________________ ______________________________________________________