Name of Teacher Receiving Materials
*
First Name
Last Name
School District or Organization and Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Email AddressÂ
*
Confirmation Email
example@example.com
Age Range of Students
*
Pre K
First Grade
Second Gade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
Ninth Grade
Tenth Grade
Eleventh Grade
Twelfth Grade
Pre-K through Third
Pre-K through Sixth
Pre-K through Twelfth
Elementary School
Middle School
High School
Special Needs Adults
Seniors
Do you serve any special needs clients?
*
Children
Adults
Seniors
No
What subject matter are you teaching?
*
Art and Crafts
English
Math
History
Science
Language
Life Skills
Basic Skills
Club Badge
Summer Camp
Bible Camp
Sunday School
Therapy
Other Program
Barcode
Classroom Supplies
Manila Folder
Mailing envelope
Bubble envelope
Mailing tube
Index cards
Stapler
Scissors
Scissors (craft patterns)
Staple remover
Hole punch (single)
Hole punch (2 or 3 hole)
Hole punch (shape, small)
Hole punch (shape, large)
Ruler 6"
Ruler 12"
Rubber bands (Small pack)
Glue (Small bottle)
Glue (large bottle)
Staples (small box)
Presentation Folder
Binder 1"
Binder 2"
Binder 3"
Label machine
Label machine refill
Printer ink cartridge
Toys, Games, and Musical Instruments
quantity
Total
Containers
Woodcraft and Wooden Items
Books, Magazines, and Media
Fabric, Ribbon, Yarn,
Science Gear and assorted Technology
Art Supplies
Hardware and Tools
Sliders with calculated result
Containers
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