October 2014 NEBRASKA-IOWA KIWANIS DISTRICT FOUNDATION ...

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NEBRASKA-IOWA KIWANIS DISTRICT FOUNDATION BACKPACK ORDER FORM

We are ordering the below listed items from the Foundation through its Backpack Program. Club Name:________________________________________ Contact Person:___________________________ Email:_________________________ Phone Number:___________________________ Date Required:_____________________ (allow at least two weeks) We will pick up: ___ (for orders less than 90) from Foundation stock Drop ship to: ____________________________________________ (name) For orders of 90 or more

__________________________________________________ (address) __________________________ _____ ____________ (city, state, ZIP) ____________________________________________ (delivery phone)

Drop ship requirements: an order of 90 backpacks or any order over 100 units. The items come boxed in units of 30 each. Each box is about 27x20x19 inches and weighs 47 lbs. Colors available Large: black, navy, red, green, dark gray, dark purple, pink, aqua, yellow. Small: dark purple, pink, red, and turquoise Quantity

Size/Type (Large/Small

Color

Cost of the Backpacks is: $4 each Send this form, with check attached, to: Curt Reis, Treasurer Nebraska-Iowa Kiwanis District Foundation 1207 Poplar Lane Storm Lake, IA 50588-2153 [email protected] (712) 732-6104 October 2014