Order Form

I would like to order_________ Facilitator Guide(s) at $40 each (price includes postage).

Total Cost $_______

Please send to:

Name________________________________________________________________________

Address______________________________________________________________________

City________________________  State_________________    Zip_____________________

Phone   (            )_____________________________________________________________

Federal Tax ID Number__________________________________________________________

Please make check payable to Kansas State University and mail with order form to:

Mission Nutrition Education Program
Attn: Kathy Walsten
255 Justin Hall
Kansas State University
Manhattan, KS  66506-1407

For additional information contact:

Kathy Walsten at

785-532-1676 or by email at walsten@humec.ksu.edu

KSU Federal Tax ID # 48-0771751