Kiwanis Order Form

Primary Contact Information

First Name

This should be the main contact person for this order.

Last Name

Title

Example: teacher, accountant, etc.

Please use a current, valid email address.

Phone Number

Shipping Address

Address Line 1

Address Line 2

City

Country

State

Provinces

Postal Code

Kiwanis Club Information

Club Type

Kiwanis ClubAktion ClubCircle K InternationalKey ClubBuilders ClubK-Kids

Club Name

City

State/Province

District

I grant permission for Little Free Library to share this information with Kiwanis International

Yes

Is your billing address the same as the shipping address above?

YesNo

Billing Address

Address Line 1

Address Line 2

City

Country

State

Provinces

Postal Code

How will payment be submitted?

Credit CardCheckACH

Products

Select the type and quantity of the co-branded Kiwanis and Little Free Library charter sign you would like to purchase below.

Select Charter Sign Type

Select Charter Sign Language

Select Charter Sign Quantity

Are you interested in purchasing additional products such as a library or post?

YesNo

Please enter each item you would like to purchase below. Enter one item per line. Please use the correct name and quantity for each product. If you're not sure of a product's name, please reference our online store.

Item #1

Example: Composite Two Story Blue - 1

Item #2:

Item #3:

Item #4:

Item #5:

Please enter any additional items below. One item per line. Enter a quantity next to each item.

Questions/Comments

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