Lana Stripling

12810 Hillcrest Plaza, Suite B118
Dallas, Texas 75230

e-mail: lanacs@sbcglobal.net
Phone & Fax (972) 386-5343

Developmental Motor-Handwriting Program Order Form

Number Needed

Item Name

Cost Per Item

Total Cost

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Add 20% for Mailing and Shipping

$________

TOTAL

$________

Send to:

Name ________________________________________
Address ________________________________________
City/State/Zip ________________________________________

Materials Available:

Pre-Primary Workbook $12.00
Primary Workbook (Grades 1-3) $12.00
Intermediate Workbook (Grades 4-6) $12.00
Advanced Workbook (Grades 7 - Adult) $12.00
DMHP Teacher’s Manual $25.00
Regular-Ruled Raised Lined Paper (30 sheets) $6.00
Primary-Ruled Raised Lined Paper (30 sheets) $6.00
Cursive Alphabet Strips (Both Lower & Capital Included) $2.00
Number Lines-Laminated (Inches & Centimeters) $1.00

Please send checks to Lana Stripling at the following address:

12810 Hillcrest Plaza, Suite B118
Dallas, Texas 75230

Thanks,
Lana Stripling