WISCONSIN EDUCATIONAL COMMUNICATIONS BOARD
Teacher Materials Order Form
Teaching materials offered by the ECB are available to public and private educational institutions, home-schools, and libraries within the viewing areas of Wisconsin Public Television.
To Order
1.
 Print out this form and complete it.
2.
 Refer to the Teacher Materials for Wisconsin Educators list for item numbers and prices. Prices include shipping and handling.
3.
 Add 5.5% sales tax to your order, or write your tax-exempt number here:___________________
4.
 Please make purchase orders/checks payable to the ECB.
5.
 Mail your order to: Teacher Materials, ECB, 3319 W Beltline Hwy, Madison, WI 53713-4296.
Orders accompanied by a purchase order may be faxed to 608/264-9622.
If you have questions, please contact Susan Stevens at 608/264-9693.
Order Information

Item #

Title

Price

Qty.

Amount

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$______
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$________
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$______
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$________
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$______
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$________
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$______
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$________

Purchase Order Information
P.O. # Date
Mailing a Confirming P.O.? (check one) ____ Yes ____ No

Billing Address
Person Ordering
School/District Name
Address
City/State/ZIP

*Shipping Address (if different from above)
To the Attention of
School/District Name
Street Address
City/State/ZIP

* Most orders are shipped UPS, which requires a street address.
Thank You for Your Order!