Name _____________________________________ Total Enclosed: ______________

Street Address ______________________________  Money Order: ____
(Check above)
City ___________________ State ______ Zip ______
Charge to my Mastercard, Visa, Discover (circle one)
Phone Number______________________________ Card No. ___________________
CID No. _____ Exp. Date ______
Signature: _________________________________


Please send me preschool program for this many children _________
Send me the   3 Day Program   5 Day Program  (circle one)
Please send me toddler program for this many children _________
Total Amount Due: $________________________
Berry Best
P.O. Box 433
Hampstead, MD 21074
Toll Free Number 1-888-774-0331
Local Number 410-374-3203