Little Lessons Program Order Form

Company

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Lilly the Lash's Little Lessons Program(Required)

Sunny Learns About SELF-WORTH
Special Introductory Investment: $3,750 – (Standard Rate: $5,000)

Exclusive Add-On Package (Available ONLY with Program Enrollment)

Our Physical Materials Bundle is Designed for 10 Additional Students which includes: (10 Books, 10 Activity Books, 10 Totes, 10 Bookmarks, 40 Stickers)
One-Time Add-On Investment: $850

Organization Information

Name(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Primary Contact

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Phone(Required)

Extension (if applicable)

Email(Required)

Email Address to Send Program Digital Files(Required)

Authorized Purchasing Agent

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Extension (if applicable)

Email(Required)

Tax Information

Is this purchase exempt from sales tax?(Required)

Yes

Federal EIN(Required)

Employer Identification Number

State Tax Exemption Number(Required)

Sales Tax ID

Billing Information

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Street Address Address Line 2 City State ZIP Code

Shipping Address(Required)

Same as billing address

Florida Sales Tax

Price: $0.00

Total

Payment Method

Payment Method(Required)

PAY NOW via CREDIT CARD

PURCHASE ORDER / BILL ME LATER

PO Number(Required)

Please enter your authorized PO number. If you are waiting for approval, you may enter ‘Pending’ and email us the final document later.

PO Number (optional)

Enter your authorized PO number if you would like to associate this order with your PO.

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Max. file size: 50 MB.

Payment Method(Required)

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We so appreciate you ordering our program! To ensure everything goes smoothly, please click the submit button only once and wait a moment for your confirmation to appear.

Lilly the Lash’s Little Lessons® Program: Sunny Learns About SELF-WORTH
A Product of: Whimsical Wizard Worldwide, Inc.
4403 Lost Forest Rd. • Sarasota, FL 34235
501c3 Non-Profit Organization
FEIN: 83-3012001
Contact: Julie Woik
Phone: 941-504-9230 • Email: julie@lillythelash.com • Website: www.lillythelash.com
ALL PROGRAM MATERIALS WILL BE SENT UPON RECEIPT OF PAYMENT