Movement Guide Kit Orders

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            Movement Guide Kit Orders
                
If you have attended a Be Active Kids training and would like to purchase additional Be Active Kids Movement Guide kits please fill out the form below.  The cost of each Movement Guide is $50 (tax and shipping included)*. 
 If you are in a state other than North Carolina and would like to purchase a Be Active Kids Movement Guide kit please fill out the form below.  The cost of each Movement Guide is $100 (tax and shipping included)*.

                            First Name
                            		This field contains the user's first name.
                            
                            *
                            
                            Last Name
                            		This field contains the user's last name.
                            
                            *
                            
                            Organization
                            		
                            *
                            
                            Email
                            		A basic email field for collecting stuff like an email address.
                            
                            *
                            
                            Phone Number
                            		
                            *
                            
                            Shipping Address
                            		
                            *
                            
                            City
                            		
                            *
                            
                            State
                            		
                            *
                            
                            Zip Code
                            		
                            *
                            
                            Name of Be Active Kids Trainer
                            		
                            *
                            
                        If you are out of state and have not been trained enter: 

OUT OF STATE

                            Training Date
                            		
                            Number of Kits Needed
                            		
                            *
                            
                            Payment Type
                            		This field is used for adding the payment type after the order has been completed. Never require this field, as it is a hidden field and cannot be filled out on the frontend.
                            
                            Order Id