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We send out a lot of catalogs at the start of each school year, but we don't have all of you on our list . . . yet. Fill out the following form, send it back to us, and we'll send you our current product catalog via U.S. Mail right away. We'll also put you in our database to receive future Hampton-Brown catalogs and mailings.

Select which Catalog you'd like to receive:
PreK-12 Catalog PreK-12 Catalog on CD
First Name: *  
Last Name: *  
Email: *
Zip/Postal Code: *
District: *
If you want to send to a non-school address, select 'I'm not in a district'
School: *
If you want to send to a non-school address, select 'I'm not in a school'
Address: *
(choose one) *
City: *  
State/Province: *
Phone:  555-123-9876   
(choose one)

Grades Taught: *

Typical Class Size:  

I would like my sales representative to contact me.

This year, I/we plan to purchase materials for the following curricular areas:
(Check all that apply)
ESL K-5 Reading 6-8 Writing 6-12
ESL 6-8 Reading 9-12
ESL 9-12 Geography 6-8

Catalogs are supplied at no charge to qualified educators and educational institutions.
(* = Required)