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Use the following form to submit materials orders to LCL Project Headquarters. Remember the deadline for orders will be September 30 1996.

LCL Project Materials Order Form

Ship to Information:
Name: Phone:
School Name: Fax:
School Address:
School City, State, ZIP:

Vendor Information:
Vendor Name: Contact:
Vendor Address:
Vendor City, State, ZIP:

Quantity Name/Description/Product Number Unit Cost Total Cost
Total Order Cost: