Summer Library Program Order Form

Order form for materials supplied by the Central Kansas Library System and the State Library of Kansas, through a LSTA Grant




Please enter a whole number rounded up to the nearest 10 for each item you wish to order. For example, if you want 12, please round up to 20.

If you want none, please enter "0".

(*)Indicates required fields to be filled in on this form.
Use TAB key or MOUSE to navigate through form.
Select your library: (*)
Please select your library from the dropdown menu.
Your Name: (*)
Please enter your name.
Your Position: (*)
Please enter your position.
Email address (a submission receipt will be emailed to this address): (*)
Please enter your email address (a submission receipt will be emailed to this address.

Every Hero Has a Story


2015 Juvenile Order Form

1. Juvenile Posters-Small poster 11”x15” (pg. 3) KS-1365808 (*)
Please answer question 1. Juvenile Posters-Small poster 11”x15” (pg. 3) KS-1365808: Please enter the number you want to order. If none, please enter "0".
2. Juvenile Standard Bookmark-ENGLISH Two designs Round off to the nearest 10 (pg. 5) KS-1365283 (*)
Please answer question 2. Juvenile Standard Bookmark-ENGLISH Two designs Round off to the nearest 10 (pg. 5) KS-1365283: Please enter the number you want to order. If none, please enter "0".
3. Juvenile Bookmark-ENGLISH/SPANISH Two designs Round off to the nearest 10 (pg. 5) KS-1365284 (*)
Please answer question 3. Juvenile Bookmark-ENGLISH/SPANISH Two designs Round off to the nearest 10 (pg.5) KS-1365284: Please enter the number you want to order. If none, please enter "0".
4. Juvenile Book List Reading Records (1 per child) Round off to the nearest 10 (pg. 6) KS-1365811 (*)
Please answer question 4. Juvenile Book List Reading Records (1 per child) Round off to the nearest 10 (pg.6) KS-1365811: Please enter the number you want to order. If none, please enter "0".
5. Juvenile Timed Reading Records (1 per child) Round off to the nearest 10 (pg. 6) KS-1365812 (*)
Please answer question 5. Juvenile Timed Reading Records (1 per child) Round off to the nearest 10 (pg.6) KS-1365812: Please enter the number you want to order. If none, please enter "0".
6. Juvenile Reading Certificates (1 per child) Round off to the nearest 10 (pg. 6) KS-1365809 (*)
Please answer question 6. Juvenile Reading Certificates (1 per child) Round off to the nearest 10 (pg.6) KS-1365809: Please enter the number you want to order. If none, please enter "0".
7. Juvenile Door hangers (1 per child) Round off to the nearest 10 (pg. 9) KS-1365802 (*)
Please answer question 7. Juvenile Door hangers (1 per child) Round off to the nearest 10 (pg. 9) KS-1365802: Please enter the number you want to order. If none, please enter "0".

2015 Early Literacy Order Form

8. Early Literacy Bookmarks One design Round off to the nearest 10 (pg. 16) KS-1365261 (*)
Please answer question 8. Early Literacy Bookmarks One design Round off to the nearest 10 (pg. 16) KS-1365261: Please enter the number you want to order. If none, please enter "0".
9. Early Literacy Reading Records (1 per child) Round off to the nearest 10 (pg. 16) KS-1365795 (*)
Please answer question 9. Early Literacy Reading Records (1 per child) Round off to the nearest 10 (pg.16) KS-1365795: Please enter the number you want to order. If none, please enter "0".

2015 All Ages Order Form

10. All Ages Bookmarks One design Round off to the nearest 10 (pg. 25) KS-1365285 (*)
Please answer question 10. All Ages Bookmarks One design Round off to the nearest 10 (pg. 25) KS-1365285: Please enter the number you want to order. If none, please enter "0".
11. All Ages Book List Reading Records (1 per child) Round off to the nearest 10 (pg. 25) KS-1365805 (*)
Please answer question 11. All Ages Book List Reading Records (1 per child) Round off to the nearest 10 (pg.25) KS-1365805: Please enter the number you want to order. If none, please enter "0".
12. All Ages Reading Certificates (1 per child) Round off to the nearest 10 (pg. 25) KS-1365804 (*)
Please answer question 12. All Ages Reading Certificates (1 per child) Round off to the nearest 10 (pg.25) KS-1365804: Please enter the number you want to order. If none, please enter "0".

UNMASK!


2015 Teen Summer Reading Program order form

13. Unmask Posters-Small poster 11”x15” (pg. 18) KS-1365797 (*)
Please answer question 13. Unmask Posters-Small poster 11”x15” (pg. 18) KS-1365797: Please enter the number you want to order. If none, please enter "0".
14. Unmask Bookmarks One design Round off to the nearest 10 (pg. 19) KS-1365289 (*)
Please answer question 14. Unmask Bookmarks One design Round off to the nearest 10 (pg. 19) KS-1365289: Please enter the number you want to order. If none, please enter "0".
15. Unmask Bookmarks –ENGLISH/SPANISH One design Round off to the nearest 10 (pg. 19) KS-1365290 (*)
Please answer question 15. Unmask Bookmarks –ENGLISH/SPANISH One design Round off to the nearest 10 (pg. 19) KS-1365290: Please enter the number you want to order. If none, please enter "0".
16. Unmask Reading Records (1 per child) Round off to the nearest 10 (pg.19) KS-1365798 (*)
Please answer question 16. Unmask Reading Records (1 per child) Round off to the nearest 10 (pg.19) KS-1365798: Please enter the number you want to order. If none, please enter "0".
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Please type the four jumbled letters you see above the text box. (This is called the CAPTCHA code.)
 
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