CALIFORNIA YOUNG READER MEDAL

ORDER FORM
Mail to: California Young Reader Medal Committee, 3186 D-1 Airway, Costa Mesa, CA 92626
The California Reading Association and the CYRM Committee make available camera-ready copies of materials to promote the California Young Reader Medal program.
 
Price List/Order Form
ITEM QUANTITY
PRICE
TOTAL
Seals for Nominated Books (25) _________
$ 2.00
_________
Seals for Winning Books (25) _________
$ 2.00
_________
Seals for "I Voted" (20) _________
$ 3.00
_________
K through 6 Activity Packet (CRA) _________
$12.00
_________
7 through 12 Activity Packet (CRA) _________
$12.00
_________
K-12 Resource CD (CYRM) _________
$7.00
_________
Young Reader Medal Rubber Stamp _________
$ 6.00
_________
"Winner" Rubber Stamp _________
$ 4.50
_________
"Nominee" Rubber Stamp _________
$ 4.50
_________
Young Reader Medal Rubber Stamp (Complete Set) _________
$14.00
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Young Reader Medal Rubber Stamp
and "Winner" OR "Nominee" Stamp (Circle One)
_________
$10.00
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Sub-Total
_________
_________
Shipping Costs  
Up to $10.00 =$2.95 $45.01 - $65.00 =$7.95
$10.01 - $25.00= $3.95 $65.01 - $95.00 =$9.95
$25.01 - $45.00 =$5.95 $95.01 - $125.00=$12.95
Shipping Costs
_________

Total:
_________
Remittance must be included with each order. Purchase orders, checks, Visa, American Express or MasterCard accepted. Please make checks/purchase orders payable to: The California Reading Association. You may FAX credit card orders to CRA at (714) 435-0269

Name

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School or Library
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Street Address
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City, State, Zip
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Credit Card Orders ONLY: CHECK ONE:  Visa_____ MasterCard_____ American Express_____

Name on card__________________________________________________

Card # _______________________________________________________

Expiration Date_________________________________________________