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tiny fingers  sign language classes for hearing babies and their parents

Baby Sign Language Teaching Kit  Six Week Course
Order Form  

We are now accepting credit card payments via PayPal.  Please mail this order form to the address below and I will send you a bill via email.  For faster service, you may email me to request an order form in MS Word format, complete it and send it back to me as an attachment to place your order.  I will then email you a bill via PayPal for the full amount.  

If you prefer to pay by personal check, please enclose your check with your order and allow 3-4 weeks for delivery for this type of payment.   You may also make your payment by cashier's check or money order.  Payments should be made to tiny fingers and mailed to:  Eileen Ladino,  205 Yoakum Parkway  #1803, Alexandria, VA  22304

Name:   _____________________________________________________________________

If applicable:  Business Name ____________________________________________________ 

              Website _____________________________________________________________

Address:  ___________________________________________________________________

___________________________________________________________________________

Email Address: _______________________________________________________________

Phone numbers: home _____________________________  other:________________________

How did you hear about tiny fingers?  ____________________________________________

Number of curricula ordered:                   ________ at $169 each.   subtotal    $______________

Shipping and Handling: FREE                                                                   S&H   $___FREE______
Please contact us to inquire about international shipping rates.

To order additional books of Baby Sign Language Cue Cards at wholesale rates, please see http://www.tinyfingers.com/wholesaleonline for rates a separate order form.

                                                                                               Total Enclosed    $ _____________
FOR OUR RECORDS ONLY:
Which, if any,  Baby Sign Language organizations are you affiliated with?  __________________

How did you learn sign language?__________________________________________________
Rate  your ASL vocabulary ( 1 = beginner; 5 is advanced)      Circle one.      1      2      3      4      5

How did you learn of this Teaching Kit?  ____________________________________________
Would you like to be listed on the Tiny Fingers website as an affiliate?   Circle one.  Yes   No

Anything else you would like to share about your background: