4th Grade Scholastic Books || Order Form

Scholastic Orders


Please complete this form as accurately as possible. Optional Fields are marked with a red asterisk * Important information marked in red.
*Student Information*
First Name
Last Name
Teacher's Name
*Coupons*
Are you using any coupons?	Yes No *If you chose yes, please fill in the PC number below What type of coupon are you using?
*Order Information*
Scholastic Club	ARROW Book Club Click Interactive Learning Club
ARROW	Please enter the item number, quantity, price, and amount for each item ordered from ARROW.
	Item Number	Quantity	Price	Amount Due
Click	Please enter the item number, quantity, price, and amount for each item ordered from Click.
	Item Number	Quantity	Price	Amount Due
Totals	Total Items Total Amount Due *Please send in a check with the above amount, made out to Scholastic Book Clubs, in with your child to give to his/her classroom teacher.
*Comments

Site Designed and Maintained by: arogalski

Last Update: 12/18/2007