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Please complete the following form to provide us with an idea of what you are considering ordering. It is important to us to make sure that you have the right product[s] for your setting.

We DO sell individual balls for homes and offices. Complete only applicable parts of this order form to fit your situation.

This order form will NOT be processed until WittFitt contacts you to confirm the order and payment method.

Your Name:

School name [if applicable]:

Phone number:

School website [if applicable]:

Bill to [name of individual, school, district or organization]:

Billing Address:

Ship to [name of individual, school, district or organization]:

Shipping Address:
[If different from above]

INFORMATION ABOUT PERSON WHO WILL USE THE PRODUCT:

Name of person - IF different from above.

Grade level:
[If applicable]

Height:

Are the desks/tables in the room that will use the balls adjustable?

Yes

If NO, are they all ONE height?

Yes

Provide measurement[s] from floor to under desk/table top for any non adjustable desks/tables.

Please list the products & quantities you are interested in purchasing:

Describe the PLAN for the balls in terms of use and setting. Any details help us to make sure you have the materials/support you need.

Teacher's height
[if ordering ball for self or Teacher Sample Pack]:

Select the payment method you plan to use:

	Check
	Purchase Order [through school/district]
	*No credit cards please.

When is the best time to reach you?

E-mail address:

How did you hear about WittFitt?

Comments/questions:

Validate Text:

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