SUPPLY ORDER FORM*

Unit(s)	Description	Number/Unit	Price	Total Cost
INITIATION SUPPLIES
_______	Book Marks	10	$5.00	_______
_______	Certificates (for chapter reserves)	10	$5.00	_______
_______	Crest	10	$2.00	_______
_______	Member Handbook and Pin (for chapter reserves)	1 each	$7.00	_______
_______	Program Covers	10	$1.00	_______
PUBLICATIONS
_______	Certificates of Appreciation	1	$1.00	_______
_______	Phi U Information Brochure	-	None	_______
_______	Scholarships/Fellowships/Awards Brochure	-	None	_______
STATIONERY
_______	Letterhead with Family & Consumer Sciences	100	$5.00	_______
_______	Envelopes with FCS	100	$4.00	_______
TREASURER'S SUPPLIES
_______	Computer Form/Membership Cards	10	$1.00	_______
_______	Ledger Sheets for Post Binders	10	$1.00	_______
_______	Form 2B National Dues Receipt Book	1	$3.00	_______
_______	Form 3B Collegiate Chapter Receipt Book	1	$3.00	_______
OTHER
_______	Honor Stoles**	1	$20.00	_______
_______	Honor Cords*	1	$8.00	_______
_______	Poster	1	$2.00	_______
USA Shipping &Handling Charge		-	-	$7.50
TOTAL ENCLOSED		-	-	_______

*Honor Cord orders must be received by November 15 for December graduations and April 15 for May graduations.
** Honor Stole orders must be received by October 15 for December graduates and March 15 for May graduates.
***Honor Cords and/or stoles are mailed only to Chapter Advisor***

DATE:

NAME, TITLE:

CHAPTER:

FAMILY & CONSUMER SCIENCES UNIT:

INSTITUTION:

ROOM, BLDG., P. O. BOX

STREET:

CITY:

STATE:

ZIP:

PHONE: ( )

E-MAIL:

Treasurer ______________________________________

Advisor _______________________________________

*THIS FORM MAY BE DUPLICATED AS NEEDED.

11/11/2007