game-kit-order-form-v-1-0

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Idea Maker Game Classroom Kit Order Form Each classroom kit contains three sheets and a set of idea slide rules – as shown below and on the next page. Please note that the images depict current versions of the toolkit components and that these may be updated slightly by the time your kits are shipped. Please also note that our supply of these kits is limited during the pilot period.

To request an Idea Maker Game classroom kit, please print this page and fill out the following information. Then scan and return it to us at games@theinnographer.com. Then we’ll get in touch with you to confirm the details and your order. Then you’ll receive an invoice from us. My name: _______________________ My email address: ______________________________ My phone number: _______________________ I’m a college/university instructor/professor/center director and I want to purchase directly I’m the purchasing coordinator in a college/university bookstore Teacher’s contact information if I’m not the teacher in either of the above cases: Name: __________________________ Email address: ________________________________ I’m a junior or senior high school teacher and would like to purchase directly I’m a junior or senior high school teacher and would like consideration to receive for a low cost Justification if requesting a lower cost: ___________________________________________ I would need the kits to arrive by: _______ (month) _____ (date), 2015 The kits need to be sent to this address: ________________________ (recipient) ________________________ (faculty, department, or building) ________________________ (street address) ____________ (city) _____________ (state or province) ____________ (country) ___________ (postal code) I want this many kits: _______ at the prices outlined in the table below (plus shipping and applicable taxes): Number of kits 1-19 20-49 over 50

Price per kit US $33 US $27 US $25

My signature: __________________________ Today’s date: _______ (month) _____ (date), 2015

Kit contents: Idea Maker Game Classroom Kit v.1.0

© The Innographer 2015


1. A two-sided dryerase idea napkin:

First side (basic)

Second side (deeper)

2. A dry-erase critique pad with an idea sketch pad on the back:

First side (Feedback/judging sheet & critique pad)

Second side (Idea sketch pad) 3. One set of game directions with a scoring sheet on the back:

First side (directions)

Second side (scoring sheet) 4. One set of paper idea slide rules, i.e.: (1) impact slide rule (1) feasibility slide rule

Idea Maker Game Classroom Kit v.1.0

Š The Innographer 2015


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