8/8/2019 Kidsmart Holiday Shoppes Customer Selection Form 20100001

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Prices Shown Are Your School's Cost2010 Customer Selection Forme

Please return yourselection form at yourearliest convenience toavoid substitutions.

DIRECTIONS: The 40 + 'd i tems =pre-selected gif ts (counting Mom's, DPlease check (,/') the box by theinclude in your Kidsrna rt Ho liday Sitems). Feel free to cal l with any quesinstructions at 1-800-659-9436.

Dme _School Name No. of StudentsChairperson Address ~ City _Chairperson Tel: Home

Chai~rnon-- ,_--Ask about Free use of ourCash Register System.

St __ Zip _EmaJlell

o hh Red Velvet Rose ' II i/Crys ta l Earri ngso ii Robotic Reading Ught j j S hr in ky Di nks A cti vi ty Set -Ba rb ie , D is neyo kk Super Gliders - S et o f 3o m:tH11 Tr op hy - # 1 Dad _ , #1 Gp a_o oo-pp Val et D es ktop - Dad_ , Gpa _CODE 8- $4.00 cost a-d T' PlushPuppyw lHoody - Dad~ Mom__Gma~Gpa __o e Calgon "Heal ingGarden" 3pc . B at hSet f-i Ceramic M ugs - Dad ~ Mom __ Gma __Gpa--o j Da d's 'Gr eat I deas' Note P adC ad dy k G old Ne ckla ce in F oil B ox - A ssfdo m 'MomYou' reSweet' Ceramic KeepsakeBoxo n Sp or tsW atch Assfd Co lo rso 0 Velvet Heart BoxwIFashion Earringso p Water W heel T imer

We determine qwult it ies of each gift item tosend ba se d on you r sa tes h istor y, numbe rof participating. stuc:Ients, and the total sellingdays (or hours). Of course, your input andsuggest ions are welcome!CODE 21 - $.25 cost (not i llust rated)o a Holiday Stencilo b Marvel Mini Dart Game c PoppersCODEfS - $.50 cost (not i llust rated)o a Airplane Ayero b A fr ic an Ame ri can Angel O rnamen to c Creepy Slime w/Bugo d Dreidle Toy e-j Mmi AiP-Pens Mom~ Dad ~ Gma ~Gpa ~ Aunt~ UncIe_o k Smile Face Up Gloss Ringso m S tret chy Cr itt er s & Smi le yCODe 17- $.75 cost (not i llust rated) a Bling R ingo b Bug inShell - "ILove You"o c Mini Sports Ballso d Tenni s B race le t ASsrd Co lo rso e Water Toyso f Whoopie C Ushion g- j Woo dDie -Cut 0mamen1 s- D ad ~ Mom~Gma~Gpa __o k -m Wor1d 'sGreates tKeychain Mom~ Gma__

CODE 14 - $1.50 cOsto a -c 2- pc. Too l K itIKe ych ain - Da d ~ Gp a_ _UncleBigWheel Trucks - Pull Back ActiOnBracelet - HolidayCharmsButterHyDie-Cut Note PadlPen SetCancBeTInS ScentedCharm Bracelet - 'Nature's Garden'CritterScribbler PensDinosaur Egg - Hatching/GrowsHair BrushlMirror in Folding HandleMom _, Gma _. Sis_Hannah Montana KeychainHannah Montana Photo AlbumHannah Montana T.V. PenMoney Clip w/Go ld EagleNecklace - Kids CharmsNotebook - Mom ~ Gma _Ocean GooPetCombTeacherRulerTeacherStickyNote DispenserWALL-E RoirlngStamp

CODE 1 2 - $ 2.50 co st a 6-0-1 Screwdrive r Seto b Ba by Rattle Plush b y Dakin, Ru sso c Bath & Baby Toys byFuntimeo d Bracelet- "Mom" inSilver OvalDe Cardinal Trinket Boxo f Dog Tag 'X-Gear' Necklace g-j Dolomite Ornaments - Dad _, Mom _ _Gma~Gpa_

CODE 2 - $6.50 costCl a ~1 -p c. Sear s Co+ b Aus tr ian Cr yst aloc CZ Earrings inJo d Calgon 7-pc. Loo e- f Gla ss # 1-Sh ap edCl g -h G lass Bea rs - Faco i-j NFL G loves - S teeo k Velvet - Bel lw /Sno m Velvet - Snowman n Velve t - Sn owflakeCODE 1 - $7.50 cos t a AquaDanceColor Co b Fai ry Pendant inKeo c Footbal lC locko d Princess VelvetCroo e Rhinestone Oval Neo f " Sh in ingS ta r' 8" Puo 9 Wildl ife Plaque w/StCODE 0 - $8.50 costo a U ve , Laugh , Lov e+ b Nec kl ac e - Gol d To c Snowman 11"Plusho d WalkieTalk ieSet - 4o e Wood LabyrinIh PuzCODE 00 - $9.50 costo a B inoculars by Humo b CZC rystal & Silver c DeerCarved S1andCl d Wooden Hol iday Bo e Workf s Bes tMomCODE 01 - $10.50 cost a 12Days o fC hr istmo b Gui tar Heme - P layo c K 'NEX 10Model Bo d Men'sDeluxeWoodCl e Necklace - GoIdICr

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Rashing Hol iday Pij1Hannah Montana Guitar Pick NecklaceHannah MontanaJurpboPenHanukkah CandleHoliday Mugs - Ceramic, BoxedHolidayEarrings- "Festive Danglers" w/BellMood RingsPho toF rames by RuSs -D ad~ Gpa _, "I Love You"_o v 'SantaC lo thes 'Candles - Set /2 ,Boxedo w-x SoI ar -P ov ve redKeyc ha in - D ad ~ Gpa_o y Snowy Water Ballo z Sport sVehicles - P la tf ormBxd- Ass t' do aa TapeMeasu re - le vel Note Pad- Peno bb-dd TeddyBearin Cup - M :m ~ Gma~ Aun t__o ee- ff T ri -ColorH i -l it er Wheel - B ro~ S is_CODE 10- $3.00 cost a-b 9 p c. Clip-on Tool Set - D ad _ , Gpa _ c Airplane Model Kito d- e Bar Mitzvah Be ar by G litzy - Boy ~ Girl _o f- g Ca lcu lator w/Ca rd Ho lder - Dad _ ' G pa _o h Ca rs/Disne y Mini 2- pack i Cocktail Ring in Pink Bow BoxOJ Dinosaur Toy Set in :Tubo k Dog Treats B oxed