Andar 360

Contact Person Information/Informaci�n del Contacto:

* First Name/Nombre:

* Last Name/Apellido:

* Title/Titulo:

* Phone Number/N�mero de tel�fono:

* Email Address/Correo electr�nico:

Organization Information/Informaci�n de la organizaci�n

* Organization Name/Nombre de la organizaci�n:

* Street Address/Direcci�n:

* City/Ciudad:

* State/Estado:

* Zip Code/C�digo Postal:

* Number of Kindergarten Readiness Calendars requested/N�mero de Calendarios:

NOTE: You will be contacted by e-mail once your order has been filled. Calendars must be picked up Monday - Thursday between 9:00am - 4:00pm by appointment only at United Way of Lake County's offices (330 South Greenleaf Street, Gurnee). Calendars not picked-up by the appointment date will be canceled, and a new order must be placed. All materials are subject to availability./Usted sera contactado por email uan vez que su order este lista. Calendarios deben ser recogidos de Lunes-Jueves entre 9:00am-4:00pm por cita solamente en las oficinas de United Way of Lake County. (330 South Greenleaf Street, Gurnee). Los materiales que no sean recogidos en la fecha de la cita se cancelar�n y se deber� hacer un nuevo pedido. Materiales estan sujetos a disponibilidad.

Indicate the date and time of preferred pick-up./ Indique la fecha y hora en que desea recoger los materiales:

Items marked with an asterisk(*) are required

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Kindergarten Readiness Calendar Order Form