By phone: 217.333.0094
By fax: 217.333.0094
By email: nat@aces.uiuc.edu
To order by phone, please call Monday - Friday, 8AM to 5PM, CST. After hours, please order by fax or email. To order by fax, please print off the form below and fax the completed form to the number listed. To order by email, please include all the information in the order form. Incomplete orders will not be processed. Orders will be shipped by the United States Postal Service, priority mail, unless specifically requested differently.All orders will be shipped in 2-3 working days. All orders will include an instructional sheet on how to use the food and activity records.
Please include mailing address and daytime phone number on fax and email orders.
| Type | Quantity | Price per Packet | Total |
|---|---|---|---|
| Food Record 3x5 inch pads | $4.99 ($3.99 for 10 or more) | ||
| Food Record 8x10 inch pads | $4.99 ($3.99 for 10 or more) | ||
| Activity Record 8x10 inch pads | $4.99 ($3.99 for 10 or more) | ||
| Credit Card Payment (Discover, Visa, MC): | |||
| Credit Card Number | Subtotal | ||
| Name on Card: | Shipping & Handling | $3.20 |
|
| Expiration Date: | Total | ||