CHUTZ-POW! Payment Example

CHUTZ-POW! Order Form

Please fill out the form below to order your copies of CHUTZ-POW! Your order will be shipped to you by a member of our staff within one business week.
Name *

First Name Last Name
Email *
example@example.com
Phone Number *

- Area Code Phone Number

Address *

Do you plan to use CHUTZ-POW! for educational purposes? *

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As an educator, please use the coupon code "EDUCATOR" to get 50% off of your order.
School Name *
Grade(s) Taught *
Subject Area(s) Taught *
Are you interested in purchasing the accompanying Teacher's Resource Guide? *

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Can we contact you for feedback on CHUTZ-POW! ? *

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How did you hear about CHUTZ-POW! ? *
Would you like to be added to our mailing list? *

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Order

Chutz-Pow! Volume 1, The Upstanders $ 4.00

Quantity

Chutz-Pow! Volume 2, International Heroes $ 4.00

Quantity

Chutz-Pow! Volume 3, The Young Survivors $ 5.00

Quantity

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Subtotal $ 0.00 Tax $ 0.00 Shipping $ 0.00 Total $ 0.00

CHUTZ-POW! Order Form