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Order a Pencil Case

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  Please note - orders will be:
  
  Charged to your FACTS incidental billing accordingly,
  
  Processed as soon as possible, and
  
  Delivered to your child's homeroom.
  
  I am placing an order for a CJB pencil case. REQUIRED Yes. Please fill out this field.
  
  FAMILY SURNAME REQUIRED Please fill out this field. Please enter valid data.
  
  Best Phone Number (with area code) REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Confirmation Email Address REQUIRED Please fill out this field. Please enter an email address.
  
  Children REQUIRED Please fill out this field.
  
  Child 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Grade REQUIRED Please fill out this field.
  
  Child's Homeroom (Teacher or Room Number Acceptable) REQUIRED Please fill out this field. Please enter valid data.
  
  Size of Pencil Case REQUIRED Please fill out this field.
  
  Quantity REQUIRED Please fill out this field.
  
  Child 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Grade REQUIRED Please fill out this field.
  
  Child's Homeroom (Teacher or Room Number Acceptable) REQUIRED Please fill out this field. Please enter valid data.
  
  Size of Pencil Case REQUIRED Please fill out this field.
  
  Quantity REQUIRED Please fill out this field.
  
  Child 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Grade REQUIRED Please fill out this field.
  
  Child's Homeroom (Teacher or Room Number Acceptable) REQUIRED Please fill out this field. Please enter valid data.
  
  Size of Pencil Case REQUIRED Please fill out this field.
  
  Quantity REQUIRED Please fill out this field.
  
  Child 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Child's Grade REQUIRED Please fill out this field.
  
  Child's Homeroom (Teacher or Room Number Acceptable) REQUIRED Please fill out this field. Please enter valid data.
  
  Size of Pencil Case REQUIRED Please fill out this field.
  
  Quantity REQUIRED Please fill out this field.
  
  I understand that the order will be billed to our family FACTS incidental billing REQUIRED Yes. Please fill out this field.
  
  Submit
  
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