Early Learning Materials Request

Due to high demand, not all items may be available at this time. Attempts will be made to fulfill requests as much as possible. Thank you for your understanding.

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* 1. Please provide your SHIPPING address information. (No PO Box deliveries.) One order request per entity (MPI Number). Incomplete information may disqualify your request.

Your First and Last Name *

Name of your program, organization or school *

Shipping Address (NO PO BOX) *

Address 2

City *

State *

ZIP Code *

Email Address *

Phone Number *

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* 2. Your MPI Number. If you are a child care provider, this can be found on your Certificate of Compliance. If you do not have an MPI Number, please leave blank.

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* 3. What type of program do you represent?

Relative/Neighbor Child Care

Family Child Care Home

Group Child Care Home

Center Child Care

Home Visiting Program

Family Center

Head Start

PA Pre-K Counts

School District

Other (please specify)

Due to high demand, not all items may be available at this time. Attempts will be made to fulfill requests as much as possible.

Please select the family-friendly early learning materials you would like to provide to families in your program. Links to view the item is provided.

Please indicate how many copies of the following materials you would like. It is not necessary to request all materials. Please only request materials you can give to families currently in your care.

Quantities are limited and first-requested, first-serve basis. For quantities greater than available to select, please email Mary at marhal@pakeys.org.