Order Information:
Date: ____________Organization: __________________________________________
Contact: __________________________Phone: _____________ Fax: ____________
Address: __________________ City: _____________ State: _____Zip: ________
Email: _______________________________
Total Amount Included: _________________
|
Quantity |
Description |
Price |
Total Amount |
|
|
Bully Survey - Elementary Version (100 minimum) |
$1.25 |
|
|
|
Bully Survey - Youth Version (100 minimum) |
$1.25 |
|
|
|
Bully Survey - Parent Version (50 minimum) |
$1.00 |
|
|
|
Bully Survey - Teacher Version (50 minimum) |
$1.00 |
|
|
|
Raw Data on Compact Disc or USB Key (requires statistical analysis software like SPSS) |
$125.00 |
|
|
|
Individual School Report in PowerPoint on Compact Disc or USB Key |
$300.00 |
|
|
|
Multi-Media Presentation (like PowerPoint) of your school’s data (e.g., staff workshop, in-service, etc.)* |
Call or email for pricing |
|
Bullying Intervention Program: Train-the-trainers in-service |
Call or email for pricing |
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|
Total Amount |
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|
|
*Note: Cost of Multi-Media Presentation and Train-the-trainers in-service do not include cost of travel to your site, which will be negotiated at the time of scheduling. |
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