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Dyslexia Awareness Month Classroom Kit Order Form
Your Name
*
First Name
Last Name
Email
*
example@example.com
Name of School:
*
Number of students:
We will send a set of 30 kits. If you require more than 30, please indicate the number needed.
Which grade level(s) will receive these resources?
*
Primary (Grade K-3)
Junior (Grades 4-6)
Intermediate (Grades 7-8)
High School (Grades 9-12, CEGEP)
Preferred language of materials:
*
English
Français
Mailing Address
*
Street Address
Street Address Line 2
City
Province
Postal Code
Any special requests?
We will do our best to accommodate special requests but cannot guarantee extra items will be available at the time of shipping.
Would you like to receive updates and resources from Dyslexia Canada?
Yes, please sign me up!
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