Georgia School Public Relations Association

Teacher of the Year Product Order Form

Print this form, fill in the order and fax it to:
Jennifer Caracciolo
Fax: (770) 781-6632
Telephone: (770) 887-2461 ext. 2156

(Limited Quantities Available) License Plate ($5 each)

Quantity __________ Total ____________

(Limited Quantities Available) Letter Opener ($7 each)

Quantity __________ Total ____________

Mug ($8 each)
(circle preference: White or Gold lettering)

Quantity __________ Total ____________

Lapel Pin ($5 each)
Black background with White lettering only

Quantity __________ Total ____________

Key Chain ($7 each)

Quantity __________ Total ____________

Letter Size Portfolio ($15 each)

Quantity __________ Total ____________

Candy Filled Apple ($5 each)

Quantity __________ Total ____________

Ink Pen ($2.50 each)

Quantity __________ Total ____________

Order any five different items for $29.00

(Your five selections must be five different items,
not five tote bags or five mugs, etc.)

List the five items:

1. ______________________

2. ______________________

3. ______________________

4. ______________________

5. ______________________          Total _________

Include the following shipping and
handling (S&H) charges:

Amount of items
$0 ­ $9.99
$10 ­ $24.99
$25 ­ $49.99
$50 ­ $99.99
$100 and up		 S&H Charges
$4.00
$4.50
$5.50
$7.00
8 percent

Total Order:

Total S&H:

Total:

_______________________

_______________________

_______________________
Your Name: __________________________________________

Shipping Address: _____________________________________

____________________________________________________

Telephone Number: ___________________________________

Date when items are needed: ____________________________  (Please allow two weeks for delivery.)