Summer Library Program Order Form

Order form for materials supplied by the Central Kansas Library System and the State Library of Kansas, through a LSTA Grant



These items may be ordered free of charge by Friday, October 20, 2015.




Please enter a whole number rounded up to the nearest 10 for each item you wish to order. For example, if you want 12, please round up to 20.

Please order ONLY the number of materials you anticipate needing to run your program.



If you want none, please enter "0".

(*)Indicates required fields to be filled in on this form.
Use TAB key or MOUSE to navigate through form.
Select your library:(*)
Please select your library from the dropdown menu.
Your Name:(*)
Please enter your name.
Your Position:(*)
Please enter your position.
Email address (a submission receipt will be emailed to this address):(*)
Please enter your email address (a submission receipt will be emailed to this address.

On Your Mark, Get Set... READ!


2016 Juvenile Order Form

1. Juvenile Posters-Small poster 11”x15” (pg. 3) KS-1370060(*)
Please answer question 1. Juvenile Posters-Small poster 11”x15” (pg. 3) KS-1365808: Please enter the number you want to order. If none, please enter "0".
2. Juvenile Standard Bookmark-ENGLISH Two designs Round off to the nearest 10 (pg. 5) KS-1369859(*)
Please answer question 2. Juvenile Standard Bookmark-ENGLISH Two designs Round off to the nearest 10 (pg. 5) KS-1365283: Please enter the number you want to order. If none, please enter "0".
3. Juvenile Bookmark-ENGLISH/SPANISH Two designs Round off to the nearest 10 (pg. 5) KS-1369860(*)
Please answer question 3. Juvenile Bookmark-ENGLISH/SPANISH Two designs Round off to the nearest 10 (pg.5) KS-1365284: Please enter the number you want to order. If none, please enter "0".
4. Juvenile Book List Reading Records (1 per child) Round off to the nearest 10 (pg. 6) KS-1370062(*)
Please answer question 4. Juvenile Book List Reading Records (1 per child) Round off to the nearest 10 (pg.6) KS-1365811: Please enter the number you want to order. If none, please enter "0".
5. Juvenile Timed Reading Records (1 per child) Round off to the nearest 10 (pg. 6) KS-1370063(*)
Please answer question 5. Juvenile Timed Reading Records (1 per child) Round off to the nearest 10 (pg.6) KS-1365812: Please enter the number you want to order. If none, please enter "0".
6. Juvenile Reading Certificates (1 per child) Round off to the nearest 10 (pg. 6) KS-1370052(*)
Please answer question 6. Juvenile Reading Certificates (1 per child) Round off to the nearest 10 (pg.6) KS-1365809: Please enter the number you want to order. If none, please enter "0".
7. Juvenile Door hangers (1 per child) Round off to the nearest 10 (pg. 18) KS-1369855(*)
Please answer question 7. Juvenile Door hangers (1 per child) Round off to the nearest 10 (pg. 9) KS-1365802: Please enter the number you want to order. If none, please enter "0".

2016 Early Literacy Order Form

8. Early Literacy Posters-Small poster 11”x15” (pg. 16) KS-1370066(*)
Please answer question 8. Early Literacy Posters-Small poster 11”x15” (pg. 16) KS-1370066: Please enter the number you want to order. If none, please enter "0".
9. Early Literacy Bookmarks One design Round off to the nearest 10 (pg. 16) KS-1369848(*)
Please answer question 9. Early Literacy Bookmarks One design Round off to the nearest 10 (pg. 16) KS-1365261: Please enter the number you want to order. If none, please enter "0".
10. Early Literacy Reading Records (1 per child) Round off to the nearest 10 (pg. 16) KS-1370051(*)
Please answer question 10. Early Literacy Reading Records (1 per child) Round off to the nearest 10 (pg.16) KS-1365795: Please enter the number you want to order. If none, please enter "0".

2016 All Ages Order Form

11. All Ages Posters-Small poster 11”x15” (pg. 25) KS-1370068(*)
Please answer question 11. All Ages Posters-Small poster 11”x15” (pg. 25) KS-1370068: Please enter the number you want to order. If none, please enter "0".
12. All Ages Bookmarks One design Round off to the nearest 10 (pg. 25) KS-1369861(*)
Please answer question 12. All Ages Bookmarks One design Round off to the nearest 10 (pg. 25) KS-1365285: Please enter the number you want to order. If none, please enter "0".
13. All Ages Book List Reading Records (1 per child) Round off to the nearest 10 (pg. 25) KS-1370061(*)
Please answer question 13. All Ages Book List Reading Records (1 per child) Round off to the nearest 10 (pg.25) KS-1365805: Please enter the number you want to order. If none, please enter "0".
14. All Ages Reading Certificates (1 per child) Round off to the nearest 10 (pg. 25) KS-1370057(*)
Please answer question 14. All Ages Reading Certificates (1 per child) Round off to the nearest 10 (pg.25) KS-1365804: Please enter the number you want to order. If none, please enter "0".

Get in the Game... READ


2016 Teen Summer Reading Program Order Form

15. Get in the Game... READ Posters-Small poster 11”x15” (pg. 18) KS-1370064(*)
Please answer question 15. Unmask Posters-Small poster 11”x15” (pg. 18) KS-1365797: Please enter the number you want to order. If none, please enter "0".
16. Get in the Game... READ Bookmarks One design Round off to the nearest 10 (pg. 19) KS-1369868(*)
Please answer question 16. Unmask Bookmarks One design Round off to the nearest 10 (pg. 19) KS-1365289: Please enter the number you want to order. If none, please enter "0".
17. Get in the Game... READ Bookmarks –ENGLISH/SPANISH One design Round off to the nearest 10 (pg. 19) KS-1369869(*)
Please answer question 17. Unmask Bookmarks –ENGLISH/SPANISH One design Round off to the nearest 10 (pg. 19) KS-1365290: Please enter the number you want to order. If none, please enter "0".
18. Get in the Game... READ Reading Records (1 per child) Round off to the nearest 10 (pg.19) KS-1370065(*)
Please answer question 18. Unmask Reading Records (1 per child) Round off to the nearest 10 (pg.19) KS-1365798: Please enter the number you want to order. If none, please enter "0".
Enter the CAPTCHA code.(*) Enter the CAPTCHA code.
Please type the four jumbled letters you see above the text box. (This is called the CAPTCHA code.)
Juvenile Braille Bookmark KS-1369865(*)
Please answer question 2. Juvenile Standard Bookmark-ENGLISH Two designs Round off to the nearest 10 (pg. 5) KS-1365283: Please enter the number you want to order. If none, please enter "0".
 
Joomla Templates: from JoomlaShack