| Product ID | Title | Unit Price | Quantity | Price |
| C-3412 | Compact AC/DC Charger for EN-EL20 Battery | $19.99 | _____ | $_________ |
| BMD-PS | Power Supply for Pocket Cinema Camera (Needs 4) | $50.00 | _____ | $_________ |
| BMD-PCC-BAT | Removable Battery for Pocket Cinema Camera (Needs 8) | $14.95 | _____ | $_________ |
| BMD-CCH | Blackmagic Cinema Camera Handles (Needs 4) | $185.25 | _____ | $_________ |
| 4519-32 | 32GB Extreme Pro Secure Digital High Capacity (SDHC) - UHS-I (Needs 8) | $67.00 | _____ | $_________ |
| SCG-AMV | Hamilton Buhl Deluxe Headset with Microphone and iCompatible TRRS Plug (Needs 8) | $19.49 | _____ | $_________ |
| GPH5-B | GoPro HERO8 Black Activity Camera (Needs 5) | $299.99 | _____ | $_________ |
| DAV-PLA-BLK | XYZprinting da Vinci PLA Filament - Environmentally Friendly - 600g, 68.9mil Spool | $28.00 | _____ | $_________ |
| DAV-FIL-BLKR | XYZprinting da Vinci ABS Filament - 600g, 68.9mil Spool (Needs 20) | $25.00 | _____ | $_________ |
| DAV-AIO | XYZPrinting da Vinci 1.0 AiO - All in One - 3D Classroom Printer & Scanner | $899.00 | _____ | $_________ |
| 4227 | Epson PowerLite 1880 LCD Projector (Needs 2) | $1198.95 | _____ | $_________ |
| 4010 | Heavy Duty Headphones (Needs 30) | $29.95 | _____ | $_________ |
| 251092 | Panasonic Lumix Micro 4/3 Telephoto Lens (Needs 4) | $449.00 | _____ | $_________ |
| MB-2016X1 | Donated 4G LTE hotspots with Mobile Beacon's Unlimited Internet Service | $0.00 | _____ | $_________ |
| BMD-PCC | Blackmagic Pocket Cinema Camera - body only (Needs 4) | $1295.00 | _____ | $_________ |
| Cash Donation (Any Amount) | ||||
| Shipping (8%): | $_________ | |||
| Tax (5%, Vermont Only): | $_________ | |||
| Total: | $_________ | |||
Credit Card (circle one) Visa Mastercard Amex Discover
Credit Card #: ____________________________________
Expiration Date:____/_____ CVV2* Code:______________
Exact Name on Card: ______________________________
Phone: ______________________________
E-mail Address: ______________________________
Credit Card Billing Address:
______________________________________________
______________________________________________
______________________________________________
Please make all checks payable to "Digital Wish". Please return payment along with this form to the appropriate teacher. Or mail with payment to:
Digital Wish
PO Box 255
Milton, DE 19968
For more information on these products, or to purchase online, visit http://www.digitalwish.org, or call (866) 344-7758.