K-8th School Supply Order Form

Order Date *

Date

Parent/Guardian Name *

First Name Last Name

Parent/Guardian Email Address *

example@example.com

Parent/Guardian Phone Number

Area Code Phone Number

Student's Name and Grade *

First and Last Name Grade

Student's Name and Grade

First and Last Name Grade

Student's Name and Grade

First and Last Name Grade

Student's Name and Grade

First and Last Name Grade

Student's Name and Grade

First and Last Name Grade

Student's Name and Grade

First and Last Name Grade

My Products

K-3rd Art Supplies $ 16.00

Does not include scissors.

Quantity

4th-8th Art Supplies $ 19.00

Does not include scissors.

Quantity

Kindergarten Classroom Supplies $ 33.00

Does not include backpack, scissors, tennis shoes, towel, or earbuds.

Quantity

1st Grade Classroom Supplies $ 21.00

Does not include bible, scissors, water bottle, and tennis shoes.

Quantity

2nd Grade Classroom Supplies $ 29.00

Does not include bible, scissor, and tennis shoes.

Quantity

3rd Grade Classroom Supplies $ 32.00

Does not include bible, pencil pouch, scissors, water bottle, and tennis shoes.

Quantity

4th Grade Classroom Supplies $ 40.00

Does not include bible, pencil pouch, scissors, earbuds, tennis shoes, and water bottle.

Quantity

5th Grade Classroom Supplies $ 33.00

Does not include scissors, pencil box, water bottle, or earbuds.

Quantity

6th-8th Grade Classroom Supplies $ 48.00

Does not include bible, math compass, math protractor, scissors, calculator, rubber cement, 3 ring binder, and tennis shoes.

Quantity

Total $ 0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Payment Method

Check/Cash paid in the office

Comments

The order deadline is August 3rd. If you have any questions, please contact Tiffaney at tiffaneyp@rcsrams.org or 701-740-3818.