TEACHER RESOURCE BOOK ORDER FORM
(UTAH STATE OFFICE OF EDUCATION)

Invoice #:___________ Date Ordered___________

Jordan School District

Curriculum Department

9361 South 300 East

Sandy, UT 84070

567-8365, fax # 567-8060

District or School Name____________________

Address________________________________

City_______State________Zip__________

Phone #____________________

Name of contact person:_________________________

# of books, K __________ (Integrated Curriculum)

# of books, 1^st___________ (Integrated Curriculum)

#of books, 2^nd___________(Integrated Curriculum)

# of books, 3^rd___________(Science with reading, writing and math)

# of books, 4^th___________(Science with reading, writing and math)

# of books, 5^th___________ (Science with reading and writing)

# of books, 5^th___________ (Math - Academy Book)

# of books, 6^th___________(Science with reading and writing)

# of books, 6^th___________(Math-Academy book)

# of binders, ____________ ($5.00 per binder)

1. Total # of books:_______ (shrink wrapped and 3 hole punched-includes tabs) x $15.00 = ________

2. Total # of binders:______(If desired, three ring white 2” binder) x $ 5.00 = ________

3. Shipping and Handling (If you want materials mailed) 15% of a+b = ________

4. Total due to Jordan School District:

NOTE: The Teacher Resource booklets cost is $15.00 per booklet. If you wish to have Jordan District send them, you will also be charged a 15% shipping charge. Please make your check

payable to: Jordan School District and send it to the attention of: Cindy Hooper, Curriculum Dept. Thank you for your order.