PP materials form for Continental US

300
New Portage Guide: Birth to Six, Infant/Toddler
Birth to 4 years kit includes: Tool for Observation and Planning (TOP); Activity/Routines Book; Group Summary Form; User's Guide; Wall Chart; and Black Tote Bag.

Portage Guide Birth to Six Materials Order Form - Spanish

No.	Item	Quantity	Price	Total
322	New Portage Guide Birth to Six, Infante/Niño Birth to 4 years kit: Tabla de Observación y Planificación (TOP); Activity/Routines Book; Group Summary Form; User's Guide; Wall Chart; and Black Tote Bag.	______	$ 149.95	______
323	TOP (set of 15 checklists)	______	54.00	______
324	Actividades y Rutinas book	______	58.00	______
325	Formato Grupal (GSF)	______	5.30	______
320	User's Guide	______	11.00	______
321	Wall Chart	______	11.00	______
299	Black Tote Bag	______	20.00	______
326	New Portage Guide Birth to Six, Preescolar 18 months to 6 years kit includes: Tabla de Observación y Planificación (TOP); Activity/Routines Book; Group Summary Form; User's Guide; Wall Chart; and Black Tote Bag.	______	$ 149.95	______
327	TOP (set of 21 checklists)	______	54.00	______
328	Actividades y Rutinas book	______	58.00	______
329	Formato Grupal (GSF)	______	5.30	______
320	User's Guide	______	11.00	______
321	Wall Chart	______	11.00	______
299	Black Tote Bag	______	20.00	______

No.	Item	Quantity	Price	Total
New Portage Guide Electronic Version
	eTOP Web-based version - (call Jody Pederson 800-862-3725, ext. 221 or 608-742-8814, ext. 221)	______		______
Portage Classroom Curriculum
	The Portage Classroom Curriculum (only Individual Profiles are available)
205	Individual Profiles (set of 21)	______	15.00	______
Videos
550	Circle of Friends, VHS video tape	______	35.00	______
551	Circle of Friends, DVD video	______	35.00	______

700	To Have a Friend, VHS video tape	______	35.00	______
Growing: Birth to Three
800	Growing: Birth to Three, 5-Part Complete Kit (Paper only) in English Includes: Development Guide (set of 10 plus master forms), Paper Nuturing Journals (10 sets of Part 1&2) Directions for use, Paper Piecing It All Together, Paper Building & Sustaining Relationships, Paper Interactions and Daily Routines (All Interactions from A through K), Paper	______	160.00	______
830	Growing: Birth to Three, 5-Part Complete Kit (Paper and CD) in English, Includes: Development Guide (set of 10 plus master forms),Paper Nuturing Journals (10 sets of Part 1&2) Directions for use, Paper Piecing It All Together, CD Building & Sustaining Relationships,CD Interactions and Daily Routines (All Interactions from A through K),CD	______	160.00	______
840	Growing: Birth to Three, 3-Part Kit in English (CD only) Includes: Piecing It All Together,CD Building & Sustaining Relationships,CD Interactions and Daily Routines (All Interactions from A through K),CD	______	80.00	______
803	Development Guide (set of 10 plus Master Forms) in English, Paper	______	100.00	______
810	Nurturing Journals (Ten sets of parts 1 & 2) in English, Paper	______	30.00	______
850	Development Guide (set of 10 plus Master Forms) in Spanish, Paper	______	100.00	______
860	Nurturing Journals (Ten sets of parts 1 & 2) in Spanish, Paper	______	30.00	______

Ordering Instructions: Orders outside the U.S. must prepay by check, money order or credit card in U.S. funds. Orders within the U.S. may be accompanied by an authorized purchase order. Prices are subject to change. Complete order form below, print and mail with payment to: CESA 5 Attn: Portage Project Materials P.O. Box 564 626 E. Slifer Street Portage, Wisconsin 53901 Phone: 800-862-3725, ext. 221 or 608-742-8814, ext. 221 Fax: 608-742-2384 Email: Jody Pederson If your materials are not received after 30 days, please contact Jody Pederson at (608) 742-8814, extension 221. Provide customer ID number found on your invoice. Returns: Materials will be accepted for return. For more information, contact Jody Pederson at (608) 742-8814, ext. 221.
Order Form
P U R C H A S E R : (Please include street address for shipping purposes.) ______________________________________________________________ S c h o o l / O r g a n i z a t i o n _______________________________ P h o n e (_______)________________ N a m e . o f . C o n t a c t . P e r s o n ______________________________________________________________ S t r e e t _______________________________ F a x (_______)_________________ C i t y . S t a t e . Z i p ____________________________ e - m a i l : (_______)_________________ S H I P . T O : (If different from purchaser, please include street address for shipping purposes.) ______________________________________________________________ S c h o o l / O r g a n i z a t i o n _______________________________ P h o n e (_______)________________ N a m e . o f . C o n t a c t . P e r s o n ______________________________________________________________ S t r e e t _______________________________ F a x (_______)_________________ C i t y . S t a t e . Z i p ____________________________ e - m a i l : (_______)_________________
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The Portage Project, updated April 15, 2010