Multiple drop down boxes with same options

T

teknoshock

I have created a page with multiple drop down boxes, all populated with
the same options. My problem is, for 12 dropdown boxes and 40 choices
per box, I end up with a massive file. Also, if I want to change or
add options to a drop down box, I then have to copy that to the other
11 boxes. Would it be possible to define the options once, and then
have all of the drop down boxes get their options from the single list?

Here is my current code:
----------------------------------------------------------------------------------------
<html>

<head>
<meta http-equiv="Content-Language" content="en-us">
<meta http-equiv="Content-Type" content="text/html;
charset=windows-1252">
<title>the EXCEL group General Office Supply Order Form</title>
</head>

<body BGCOLOR="#c0c0c0">

<Center>

<img border="0" src="ptitle.jpg" width="500" height="87"><br>

<B><font color="#FF0000">

Please use the TAB KEY to go from box to box or the mouse<br>

Use SHIFT-TAB to go back a box. Use the ENTER<br>

KEY only on the Submit or Reset buttons
</font><br>

Your email address is REQUIRED</B>

<FORM name="dform"
ACTION="http://intranet.mycompany.org/cgi-bin/purchase2.pl"
METHOD=POST>

<p align="center">

<!-- <Align = left><P><b>Please enter this number in the Serial Number
box below:</b><IMG SRC="/cgi-bin/Count.cgi?df=supply.dat

" ALIGN=ABSCENTER></A> -->

<INPUT TYPE="hidden" name="param_forward"
value="http://intranet.mycompany.org/supply.htm">

<!-- changed email to address to (e-mail address removed) when finished
-->

<INPUT TYPE="hidden" name="param_recipient" value="(e-mail address removed)">

<INPUT TYPE="hidden" name="param_from" value="(e-mail address removed)">

<INPUT TYPE="hidden" name="param_subject" value="Office Supply Order">

<INPUT TYPE="hidden" name="param_env_report" value="">

<INPUT TYPE="hidden" name="param_order"
value="request_by,currentdate,ru,D1,D1Qty,D2,D2Qty,D3,D3Qty,D4,D4Qty,D5,D5Qty,D6,D6Qty,D7,D7Qty,D8,D8Qty,D9,D9Qty,D10,D10Qty,D11,D11Qty,D12,D12Qty,T1,T1Qty,T2,T2Qty,Notes">

<INPUT TYPE="hidden" name="param_database" value="Purchase.dat">

<INPUT TYPE="hidden" name="param_required"
value="request_by,currentdate,ru">

</p>

<table border="0" width="80%" cellspacing="6" cellpadding="0"
id="table1">
<tr>
<td align="right" nowrap>Date: </b> <input type="text"
name="currentdate" size=11 tabindex="1">&nbsp;
<p>&nbsp;<script>

/*Current date in form credit:
Website Abstraction (www.wsabstract.com)
Over 200+ free scripts here!
*/

var mydate=new Date()
var theyear=mydate.getYear()
if (theyear < 1000)
theyear+=1900
var theday=mydate.getDay()
var themonth=mydate.getMonth()+1
if (themonth<10)
themonth="0"+themonth
var theday=mydate.getDate()
if (theday<10)
theday="0"+theday

//////EDIT below three variable to customize the format of the
date/////

var displayfirst=themonth
var displaysecond=theday
var displaythird=theyear

////////////////////////////////////

document.dform.currentdate.value=displayfirst+"/"+displaysecond+"/"+displaythird
</script></td>
<td nowrap>RU: <input type="text" name="ru" value="122"
tabindex="2"><p>&nbsp;</td>
</tr>
<tr>
<td colspan="2" align="right" nowrap>
<p align="left"><font color="#0000FF"><b>Enter your full email address
below (ex: (e-mail address removed))</b></font></p>
</td>
</tr>
<tr>
<td align="right" nowrap>Requested by: &nbsp;<input type="text"
name="request_by" size="51" tabindex="3"><p>&nbsp;</td>
<td nowrap>&nbsp;</td>
</tr>
<tr>
<td width="50%" align="right" nowrap>Item 1:&nbsp;&nbsp; <select
size="1" name="D1">
<option selected></option>
<option>Binder Clips,Small-12/Box-SPR87002</option>
<option>Binder Clips,Medium-12/Box-SPR87005</option>
<option>Binder Clips,Large-12/Box-SPR87010</option>
<option>Blankets-#2127</option>
<option>Combs-#C-7</option>
<option>Deodorant-PPI10150</option>
<option>Diskettes 3.5 DS/HD-10/pk-SPR71010</option>
<option>Envelopes,#10 white-500/box-SPR09100</option>
<option>Envelopes,#10 white/window-500/box-SPR09101</option>
<option>Envelope,Clasp 9x12-100/box-SPR08890</option>
<option>Envelope,Clasp 10x13-100/box-SPR08897</option>
<option>Envelope,Clasp 12x15 1/2-100/box-SPR08910</option>
<option>Hair Brush-#HB-02</option>
<option>Hair Nets-K200</option>
<option>Hand Sanitizer-case-AG46</option>
<option>Hanging Folders,1/5 Cut-25/Box-SPRSP5215</option>
<option>Highlighter-Yellow-Each-SAN25005</option>
<option>Legal Pad,Small 5x8-12/pk-SPR2058</option>
<option>Legal Pad,Regular 8 1/2x11-12/pk-SPR2011</option>
<option>Lotion-Hand and Body-#2173</option>
<option>Manila Folders,1/3 Cut-100/Box-SPRSP11113</option>
<option>Marker,Black Sharpie-Fine Point-Each-SAN30001</option>
<option>Marker,Black Dry Erase-Each-SAN83001</option>
<option>Marker,Dry Erase Set(Blk,Red,Grn,Blue)-Each-SAN83074</option>
<option>Maxi Pads-SN12</option>
<option>Mouthwash-AFM4</option>
<option>Pants,Navy-Small-#UNT</option>
<option>Pants,Navy-Medium-#UNT</option>
<option>Pants,Navy-Large-#UNT</option>
<option>Pants,Navy-X Large-#UNT</option>
<option>Paper, Copy 8 1/2x11-Single Ream</option>
<option>Paper, Copy 8 1/2x11-10 reams/case-HOP21200</option>
<option>Paper Clips,Regular-100/Box-SPR85001</option>
<option>Paper Clips,Jumbo-100/Box-SPR85009</option>
<option>Pen,Ballpoint,Med Black-Dozen-PAP33311</option>
<option>Pen,Ballpoint,Med Red-Dozen-PAP33211</option>
<option>Pen,Ballpoint,Med Blue-Dozen-PAP33111</option>
<option>Pencil #2-Dozen-SPR5052</option>
<option>Plastic Cups-1 oz.-#60183</option>
<option>Post it Notes,Small 1/2x2 -12/pk-SPR19772</option>
<option>Post it Notes-Regular 3x3-Each-SPR19783</option>
<option>Post it Notes-Large 3x5-Each-SPR19784</option>
<option>Probe Covers-PC800</option>
<option>Sandals-Small-#1800</option>
<option>Sandals-Medium-#1800</option>
<option>Sandals-Large-#1800</option>
<option>Sandals-X Large-#1800</option>
<option>Scissors,Straight-Each-FSK2108</option>
<option>Scotch Tape-Each-MMM6200341296</option>
<option>Scotch Tape-6/pk-MMM6200341000</option>
<option>Shampoo-CSC128</option>
<option>Shirts,Navy-Small-#UNS</option>
<option>Shirts,Navy-Medium-#UNS</option>
<option>Shirts,Navy-Large-#UNS</option>
<option>Shirts,Navy-X Large-#UNS</option>
<option>Souffle cups-1 oz.-#60181</option>
<option>Stapler,Standard Black-Each-SW174701</option>
<option>Staples,Standard-Box-SPRHB210</option>
<option>Staple Puller-Each-SPR86000</option>
<option>Tape Dispenser,Black-Each-MMMC38BK</option>
<option>Tooth Brush-#BB37</option>
<option>Toothpaste-FM275</option>
<option>Trays,In/Out-Each-ELD16009</option>
</select></td>
<td width="50%" nowrap>Qty: <select size="1" name="D1Qty">
<option selected></option>
<option>1</option>
<option>2</option>
<option>3</option>
<option>4</option>
<option>5</option>
<option>6</option>
<option>7</option>
<option>8</option>
<option>9</option>
<option>10</option>
<option>Other (See Notes below)</option>
</select></td>
</tr>
<tr>
<td align="right" nowrap>Item 2:&nbsp;&nbsp; <select size="1"
name="D2">
<option selected></option>
<option>Binder Clips,Small-12/Box-SPR87002</option>
<option>Binder Clips,Medium-12/Box-SPR87005</option>
<option>Binder Clips,Large-12/Box-SPR87010</option>
<option>Blankets-#2127</option>
<option>Combs-#C-7</option>
<option>Deodorant-PPI10150</option>
<option>Diskettes 3.5 DS/HD-10/pk-SPR71010</option>
<option>Envelopes,#10 white-500/box-SPR09100</option>
<option>Envelopes,#10 white/window-500/box-SPR09101</option>
<option>Envelope,Clasp 9x12-100/box-SPR08890</option>
<option>Envelope,Clasp 10x13-100/box-SPR08897</option>
<option>Envelope,Clasp 12x15 1/2-100/box-SPR08910</option>
<option>Hair Brush-#HB-02</option>
<option>Hair Nets-K200</option>
<option>Hand Sanitizer-case-AG46</option>
<option>Hanging Folders,1/5 Cut-25/Box-SPRSP5215</option>
<option>Highlighter-Yellow-Each-SAN25005</option>
<option>Legal Pad,Small 5x8-12/pk-SPR2058</option>
<option>Legal Pad,Regular 8 1/2x11-12/pk-SPR2011</option>
<option>Lotion-Hand and Body-#2173</option>
<option>Manila Folders,1/3 Cut-100/Box-SPRSP11113</option>
<option>Marker,Black Sharpie-Fine Point-Each-SAN30001</option>
<option>Marker,Black Dry Erase-Each-SAN83001</option>
<option>Marker,Dry Erase Set(Blk,Red,Grn,Blue)-Each-SAN83074</option>
<option>Maxi Pads-SN12</option>
<option>Mouthwash-AFM4</option>
<option>Pants,Navy-Small-#UNT</option>
<option>Pants,Navy-Medium-#UNT</option>
<option>Pants,Navy-Large-#UNT</option>
<option>Pants,Navy-X Large-#UNT</option>
<option>Paper, Copy 8 1/2x11-Single Ream</option>
<option>Paper, Copy 8 1/2x11-10 reams/case-HOP21200</option>
<option>Paper Clips,Regular-100/Box-SPR85001</option>
<option>Paper Clips,Jumbo-100/Box-SPR85009</option>
<option>Pen,Ballpoint,Med Black-Dozen-PAP33311</option>
<option>Pen,Ballpoint,Med Red-Dozen-PAP33211</option>
<option>Pen,Ballpoint,Med Blue-Dozen-PAP33111</option>
<option>Pencil #2-Dozen-SPR5052</option>
<option>Plastic Cups-1 oz.-#60183</option>
<option>Post it Notes,Small 1/2x2 -12/pk-SPR19772</option>
<option>Post it Notes-Regular 3x3-Each-SPR19783</option>
<option>Post it Notes-Large 3x5-Each-SPR19784</option>
<option>Probe Covers-PC800</option>
<option>Sandals-Small-#1800</option>
<option>Sandals-Medium-#1800</option>
<option>Sandals-Large-#1800</option>
<option>Sandals-X Large-#1800</option>
<option>Scissors,Straight-Each-FSK2108</option>
<option>Scotch Tape-Each-MMM6200341296</option>
<option>Scotch Tape-6/pk-MMM6200341000</option>
<option>Shampoo-CSC128</option>
<option>Shirts,Navy-Small-#UNS</option>
<option>Shirts,Navy-Medium-#UNS</option>
<option>Shirts,Navy-Large-#UNS</option>
<option>Shirts,Navy-X Large-#UNS</option>
<option>Souffle cups-1 oz.-#60181</option>
<option>Stapler,Standard Black-Each-SW174701</option>
<option>Staples,Standard-Box-SPRHB210</option>
<option>Staple Puller-Each-SPR86000</option>
<option>Tape Dispenser,Black-Each-MMMC38BK</option>
<option>Tooth Brush-#BB37</option>
<option>Toothpaste-FM275</option>
<option>Trays,In/Out-Each-ELD16009</option>
</select></td>
<td nowrap>Qty: <select size="1" name="D2Qty">
<option selected></option>
<option>1</option>
<option>2</option>
<option>3</option>
<option>4</option>
<option>5</option>
<option>6</option>
<option>7</option>
<option>8</option>
<option>9</option>
<option>10</option>
<option>Other (See Notes below)</option>
</select></td>
</tr>
<tr>
<td align="right" nowrap>Item 3:&nbsp;&nbsp; <select size="1"
name="D3">
<option selected></option>
<option>Binder Clips,Small-12/Box-SPR87002</option>
<option>Binder Clips,Medium-12/Box-SPR87005</option>
<option>Binder Clips,Large-12/Box-SPR87010</option>
<option>Blankets-#2127</option>
<option>Combs-#C-7</option>
<option>Deodorant-PPI10150</option>
<option>Diskettes 3.5 DS/HD-10/pk-SPR71010</option>
<option>Envelopes,#10 white-500/box-SPR09100</option>
<option>Envelopes,#10 white/window-500/box-SPR09101</option>
<option>Envelope,Clasp 9x12-100/box-SPR08890</option>
<option>Envelope,Clasp 10x13-100/box-SPR08897</option>
<option>Envelope,Clasp 12x15 1/2-100/box-SPR08910</option>
<option>Hair Brush-#HB-02</option>
<option>Hair Nets-K200</option>
<option>Hand Sanitizer-case-AG46</option>
<option>Hanging Folders,1/5 Cut-25/Box-SPRSP5215</option>
<option>Highlighter-Yellow-Each-SAN25005</option>
<option>Legal Pad,Small 5x8-12/pk-SPR2058</option>
<option>Legal Pad,Regular 8 1/2x11-12/pk-SPR2011</option>
<option>Lotion-Hand and Body-#2173</option>
<option>Manila Folders,1/3 Cut-100/Box-SPRSP11113</option>
<option>Marker,Black Sharpie-Fine Point-Each-SAN30001</option>
<option>Marker,Black Dry Erase-Each-SAN83001</option>
<option>Marker,Dry Erase Set(Blk,Red,Grn,Blue)-Each-SAN83074</option>
<option>Maxi Pads-SN12</option>
<option>Mouthwash-AFM4</option>
<option>Pants,Navy-Small-#UNT</option>
<option>Pants,Navy-Medium-#UNT</option>
<option>Pants,Navy-Large-#UNT</option>
<option>Pants,Navy-X Large-#UNT</option>
<option>Paper, Copy 8 1/2x11-Single Ream</option>
<option>Paper, Copy 8 1/2x11-10 reams/case-HOP21200</option>
<option>Paper Clips,Regular-100/Box-SPR85001</option>
<option>Paper Clips,Jumbo-100/Box-SPR85009</option>
<option>Pen,Ballpoint,Med Black-Dozen-PAP33311</option>
<option>Pen,Ballpoint,Med Red-Dozen-PAP33211</option>
<option>Pen,Ballpoint,Med Blue-Dozen-PAP33111</option>
<option>Pencil #2-Dozen-SPR5052</option>
<option>Plastic Cups-1 oz.-#60183</option>
<option>Post it Notes,Small 1/2x2 -12/pk-SPR19772</option>
<option>Post it Notes-Regular 3x3-Each-SPR19783</option>
<option>Post it Notes-Large 3x5-Each-SPR19784</option>
<option>Probe Covers-PC800</option>
<option>Sandals-Small-#1800</option>
<option>Sandals-Medium-#1800</option>
<option>Sandals-Large-#1800</option>
<option>Sandals-X Large-#1800</option>
<option>Scissors,Straight-Each-FSK2108</option>
<option>Scotch Tape-Each-MMM6200341296</option>
<option>Scotch Tape-6/pk-MMM6200341000</option>
<option>Shampoo-CSC128</option>
<option>Shirts,Navy-Small-#UNS</option>
<option>Shirts,Navy-Medium-#UNS</option>
<option>Shirts,Navy-Large-#UNS</option>
<option>Shirts,Navy-X Large-#UNS</option>
<option>Souffle cups-1 oz.-#60181</option>
<option>Stapler,Standard Black-Each-SW174701</option>
<option>Staples,Standard-Box-SPRHB210</option>
<option>Staple Puller-Each-SPR86000</option>
<option>Tape Dispenser,Black-Each-MMMC38BK</option>
<option>Tooth Brush-#BB37</option>
<option>Toothpaste-FM275</option>
<option>Trays,In/Out-Each-ELD16009</option>
</select></td>
<td nowrap>Qty: <select size="1" name="D3Qty">
<option selected></option>
<option>1</option>
<option>2</option>
<option>3</option>
<option>4</option>
<option>5</option>
<option>6</option>
<option>7</option>
<option>8</option>
<option>9</option>
<option>10</option>
<option>Other (See Notes below)</option>
</select></td>
</tr>
<tr>
<td align="right" nowrap>Item 4:&nbsp;&nbsp; <select size="1"
name="D4">
<option selected></option>
<option>Binder Clips,Small-12/Box-SPR87002</option>
<option>Binder Clips,Medium-12/Box-SPR87005</option>
<option>Binder Clips,Large-12/Box-SPR87010</option>
<option>Blankets-#2127</option>
<option>Combs-#C-7</option>
<option>Deodorant-PPI10150</option>
<option>Diskettes 3.5 DS/HD-10/pk-SPR71010</option>
<option>Envelopes,#10 white-500/box-SPR09100</option>
<option>Envelopes,#10 white/window-500/box-SPR09101</option>
<option>Envelope,Clasp 9x12-100/box-SPR08890</option>
<option>Envelope,Clasp 10x13-100/box-SPR08897</option>
<option>Envelope,Clasp 12x15 1/2-100/box-SPR08910</option>
<option>Hair Brush-#HB-02</option>
<option>Hair Nets-K200</option>
<option>Hand Sanitizer-case-AG46</option>
<option>Hanging Folders,1/5 Cut-25/Box-SPRSP5215</option>
<option>Highlighter-Yellow-Each-SAN25005</option>
<option>Legal Pad,Small 5x8-12/pk-SPR2058</option>
<option>Legal Pad,Regular 8 1/2x11-12/pk-SPR2011</option>
<option>Lotion-Hand and Body-#2173</option>
<option>Manila Folders,1/3 Cut-100/Box-SPRSP11113</option>
<option>Marker,Black Sharpie-Fine Point-Each-SAN30001</option>
<option>Marker,Black Dry Erase-Each-SAN83001</option>
<option>Marker,Dry Erase Set(Blk,Red,Grn,Blue)-Each-SAN83074</option>
<option>Maxi Pads-SN12</option>
<option>Mouthwash-AFM4</option>
<option>Pants,Navy-Small-#UNT</option>
<option>Pants,Navy-Medium-#UNT</option>
<option>Pants,Navy-Large-#UNT</option>
<option>Pants,Navy-X Large-#UNT</option>
<option>Paper, Copy 8 1/2x11-Single Ream</option>
<option>Paper, Copy 8 1/2x11-10 reams/case-HOP21200</option>
<option>Paper Clips,Regular-100/Box-SPR85001</option>
<option>Paper Clips,Jumbo-100/Box-SPR85009</option>
<option>Pen,Ballpoint,Med Black-Dozen-PAP33311</option>
<option>Pen,Ballpoint,Med Red-Dozen-PAP33211</option>
<option>Pen,Ballpoint,Med Blue-Dozen-PAP33111</option>
<option>Pencil #2-Dozen-SPR5052</option>
<option>Plastic Cups-1 oz.-#60183</option>
<option>Post it Notes,Small 1/2x2 -12/pk-SPR19772</option>
<option>Post it Notes-Regular 3x3-Each-SPR19783</option>
<option>Post it Notes-Large 3x5-Each-SPR19784</option>
<option>Probe Covers-PC800</option>
<option>Sandals-Small-#1800</option>
<option>Sandals-Medium-#1800</option>
<option>Sandals-Large-#1800</option>
<option>Sandals-X Large-#1800</option>
<option>Scissors,Straight-Each-FSK2108</option>
<option>Scotch Tape-Each-MMM6200341296</option>
<option>Scotch Tape-6/pk-MMM6200341000</option>
<option>Shampoo-CSC128</option>
<option>Shirts,Navy-Small-#UNS</option>
<option>Shirts,Navy-Medium-#UNS</option>
<option>Shirts,Navy-Large-#UNS</option>
<option>Shirts,Navy-X Large-#UNS</option>
<option>Souffle cups-1 oz.-#60181</option>
<option>Stapler,Standard Black-Each-SW174701</option>
<option>Staples,Standard-Box-SPRHB210</option>
<option>Staple Puller-Each-SPR86000</option>
<option>Tape Dispenser,Black-Each-MMMC38BK</option>
<option>Tooth Brush-#BB37</option>
<option>Toothpaste-FM275</option>
<option>Trays,In/Out-Each-ELD16009</option>
</select></td>
<td nowrap>Qty: <select size="1" name="D4Qty">
<option selected></option>
<option>1</option>
<option>2</option>
<option>3</option>
<option>4</option>
<option>5</option>
<option>6</option>
<option>7</option>
<option>8</option>
<option>9</option>
<option>10</option>
<option>Other (See Notes below)</option>
</select></td>
</tr>
<tr>
<td align="right" nowrap>Item 5:&nbsp;&nbsp; <select size="1"
name="D5">
<option selected></option>
<option>Binder Clips,Small-12/Box-SPR87002</option>
<option>Binder Clips,Medium-12/Box-SPR87005</option>
<option>Binder Clips,Large-12/Box-SPR87010</option>
<option>Blankets-#2127</option>
<option>Combs-#C-7</option>
<option>Deodorant-PPI10150</option>
<option>Diskettes 3.5 DS/HD-10/pk-SPR71010</option>
<option>Envelopes,#10 white-500/box-SPR09100</option>
<option>Envelopes,#10 white/window-500/box-SPR09101</option>
<option>Envelope,Clasp 9x12-100/box-SPR08890</option>
<option>Envelope,Clasp 10x13-100/box-SPR08897</option>
<option>Envelope,Clasp 12x15 1/2-100/box-SPR08910</option>
<option>Hair Brush-#HB-02</option>
<option>Hair Nets-K200</option>
<option>Hand Sanitizer-case-AG46</option>
<option>Hanging Folders,1/5 Cut-25/Box-SPRSP5215</option>
<option>Highlighter-Yellow-Each-SAN25005</option>
<option>Legal Pad,Small 5x8-12/pk-SPR2058</option>
<option>Legal Pad,Regular 8 1/2x11-12/pk-SPR2011</option>
<option>Lotion-Hand and Body-#2173</option>
<option>Manila Folders,1/3 Cut-100/Box-SPRSP11113</option>
<option>Marker,Black Sharpie-Fine Point-Each-SAN30001</option>
<option>Marker,Black Dry Erase-Each-SAN83001</option>
<option>Marker,Dry Erase Set(Blk,Red,Grn,Blue)-Each-SAN83074</option>
<option>Maxi Pads-SN12</option>
<option>Mouthwash-AFM4</option>
<option>Pants,Navy-Small-#UNT</option>
<option>Pants,Navy-Medium-#UNT</option>
<option>Pants,Navy-Large-#UNT</option>
<option>Pants,Navy-X Large-#UNT</option>
<option>Paper, Copy 8 1/2x11-Single Ream</option>
<option>Paper, Copy 8 1/2x11-10 reams/case-HOP21200</option>
<option>Paper Clips,Regular-100/Box-SPR85001</option>
<option>Paper Clips,Jumbo-100/Box-SPR85009</option>
<option>Pen,Ballpoint,Med Black-Dozen-PAP33311</option>
<option>Pen,Ballpoint,Med Red-Dozen-PAP33211</option>
<option>Pen,Ballpoint,Med Blue-Dozen-PAP33111</option>
<option>Pencil #2-Dozen-SPR5052</option>
<option>Plastic Cups-1 oz.-#60183</option>
<option>Post it Notes,Small 1/2x2 -12/pk-SPR19772</option>
<option>Post it Notes-Regular 3x3-Each-SPR19783</option>
<option>Post it Notes-Large 3x5-Each-SPR19784</option>
<option>Probe Covers-PC800</option>
<option>Sandals-Small-#1800</option>
<option>Sandals-Medium-#1800</option>
<option>Sandals-Large-#1800</option>
<option>Sandals-X Large-#1800</option>
<option>Scissors,Straight-Each-FSK2108</option>
<option>Scotch Tape-Each-MMM6200341296</option>
<option>Scotch Tape-6/pk-MMM6200341000</option>
<option>Shampoo-CSC128</option>
<option>Shirts,Navy-Small-#UNS</option>
<option>Shirts,Navy-Medium-#UNS</option>
<option>Shirts,Navy-Large-#UNS</option>
<option>Shirts,Navy-X Large-#UNS</option>
<option>Souffle cups-1 oz.-#60181</option>
<option>Stapler,Standard Black-Each-SW174701</option>
<option>Staples,Standard-Box-SPRHB210</option>
<option>Staple Puller-Each-SPR86000</option>
<option>Tape Dispenser,Black-Each-MMMC38BK</option>
<option>Tooth Brush-#BB37</option>
<option>Toothpaste-FM275</option>
<option>Trays,In/Out-Each-ELD16009</option>
</select></td>
<td nowrap>Qty: <select size="1" name="D5Qty">
<option selected></option>
<option>1</option>
<option>2</option>
<option>3</option>
<option>4</option>
<option>5</option>
<option>6</option>
<option>7</option>
<option>8</option>
<option>9</option>
<option>10</option>
<option>Other (See Notes below)</option>
</select></td>
</tr>
<tr>
<td align="right" nowrap>Item 6:&nbsp;&nbsp; <select size="1"
name="D6">
<option selected></option>
<option>Binder Clips,Small-12/Box-SPR87002</option>
<option>Binder Clips,Medium-12/Box-SPR87005</option>
<option>Binder Clips,Large-12/Box-SPR87010</option>
<option>Blankets-#2127</option>
<option>Combs-#C-7</option>
<option>Deodorant-PPI10150</option>
<option>Diskettes 3.5 DS/HD-10/pk-SPR71010</option>
<option>Envelopes,#10 white-500/box-SPR09100</option>
<option>Envelopes,#10 white/window-500/box-SPR09101</option>
<option>Envelope,Clasp 9x12-100/box-SPR08890</option>
<option>Envelope,Clasp 10x13-100/box-SPR08897</option>
<option>Envelope,Clasp 12x15 1/2-100/box-SPR08910</option>
<option>Hair Brush-#HB-02</option>
<option>Hair Nets-K200</option>
<option>Hand Sanitizer-case-AG46</option>
<option>Hanging Folders,1/5 Cut-25/Box-SPRSP5215</option>
<option>Highlighter-Yellow-Each-SAN25005</option>
<option>Legal Pad,Small 5x8-12/pk-SPR2058</option>
<option>Legal Pad,Regular 8 1/2x11-12/pk-SPR2011</option>
<option>Lotion-Hand and Body-#2173</option>
<option>Manila Folders,1/3 Cut-100/Box-SPRSP11113</option>
<option>Marker,Black Sharpie-Fine Point-Each-SAN30001</option>
<option>Marker,Black Dry Erase-Each-SAN83001</option>
<option>Marker,Dry Erase Set(Blk,Red,Grn,Blue)-Each-SAN83074</option>
<option>Maxi Pads-SN12</option>
<option>Mouthwash-AFM4</option>
<option>Pants,Navy-Small-#UNT</option>
<option>Pants,Navy-Medium-#UNT</option>
<option>Pants,Navy-Large-#UNT</option>
<option>Pants,Navy-X Large-#UNT</option>
<option>Paper, Copy 8 1/2x11-Single Ream</option>
<option>Paper, Copy 8 1/2x11-10 reams/case-HOP21200</option>
<option>Paper Clips,Regular-100/Box-SPR85001</option>
<option>Paper Clips,Jumbo-100/Box-SPR85009</option>
<option>Pen,Ballpoint,Med Black-Dozen-PAP33311</option>
<option>Pen,Ballpoint,Med Red-Dozen-PAP33211</option>
<option>Pen,Ballpoint,Med Blue-Dozen-PAP33111</option>
<option>Pencil #2-Dozen-SPR5052</option>
<option>Plastic Cups-1 oz.-#60183</option>
<option>Post it Notes,Small 1/2x2 -12/pk-SPR19772</option>
<option>Post it Notes-Regular 3x3-Each-SPR19783</option>
<option>Post it Notes-Large 3x5-Each-SPR19784</option>
<option>Probe Covers-PC800</option>
<option>Sandals-Small-#1800</option>
<option>Sandals-Medium-#1800</option>
<option>Sandals-Large-#1800</option>
<option>Sandals-X Large-#1800</option>
<option>Scissors,Straight-Each-FSK2108</option>
<option>Scotch Tape-Each-MMM6200341296</option>
<option>Scotch Tape-6/pk-MMM6200341000</option>
<option>Shampoo-CSC128</option>
<option>Shirts,Navy-Small-#UNS</option>
<option>Shirts,Navy-Medium-#UNS</option>
<option>Shirts,Navy-Large-#UNS</option>
<option>Shirts,Navy-X Large-#UNS</option>
<option>Souffle cups-1 oz.-#60181</option>
<option>Stapler,Standard Black-Each-SW174701</option>
<option>Staples,Standard-Box-SPRHB210</option>
<option>Staple Puller-Each-SPR86000</option>
<option>Tape Dispenser,Black-Each-MMMC38BK</option>
<option>Tooth Brush-#BB37</option>
<option>Toothpaste-FM275</option>
<option>Trays,In/Out-Each-ELD16009</option>
</select></td>
<td nowrap>Qty: <select size="1" name="D6Qty">
<option selected></option>
<option>1</option>
<option>2</option>
<option>3</option>
<option>4</option>
<option>5</option>
<option>6</option>
<option>7</option>
<option>8</option>
<option>9</option>
<option>10</option>
<option>Other (See Notes below)</option>
</select></td>
</tr>
<tr>
<td align="right" nowrap>Item 7:&nbsp;&nbsp; <select size="1"
name="D7">
<option selected></option>
<option>Binder Clips,Small-12/Box-SPR87002</option>
<option>Binder Clips,Medium-12/Box-SPR87005</option>
<option>Binder Clips,Large-12/Box-SPR87010</option>
<option>Blankets-#2127</option>
<option>Combs-#C-7</option>
<option>Deodorant-PPI10150</option>
<option>Diskettes 3.5 DS/HD-10/pk-SPR71010</option>
<option>Envelopes,#10 white-500/box-SPR09100</option>
<option>Envelopes,#10 white/window-500/box-SPR09101</option>
<option>Envelope,Clasp 9x12-100/box-SPR08890</option>
<option>Envelope,Clasp 10x13-100/box-SPR08897</option>
<option>Envelope,Clasp 12x15 1/2-100/box-SPR08910</option>
<option>Hair Brush-#HB-02</option>
<option>Hair Nets-K200</option>
<option>Hand Sanitizer-case-AG46</option>
<option>Hanging Folders,1/5 Cut-25/Box-SPRSP5215</option>
<option>Highlighter-Yellow-Each-SAN25005</option>
<option>Legal Pad,Small 5x8-12/pk-SPR2058</option>
<option>Legal Pad,Regular 8 1/2x11-12/pk-SPR2011</option>
<option>Lotion-Hand and Body-#2173</option>
<option>Manila Folders,1/3 Cut-100/Box-SPRSP11113</option>
<option>Marker,Black Sharpie-Fine Point-Each-SAN30001</option>
<option>Marker,Black Dry Erase-Each-SAN83001</option>
<option>Marker,Dry Erase Set(Blk,Red,Grn,Blue)-Each-SAN83074</option>
<option>Maxi Pads-SN12</option>
<option>Mouthwash-AFM4</option>
<option>Pants,Navy-Small-#UNT</option>
<option>Pants,Navy-Medium-#UNT</option>
<option>Pants,Navy-Large-#UNT</option>
<option>Pants,Navy-X Large-#UNT</option>
<option>Paper, Copy 8 1/2x11-Single Ream</option>
<option>Paper, Copy 8 1/2x11-10 reams/case-HOP21200</option>
<option>Paper Clips,Regular-100/Box-SPR85001</option>
<option>Paper Clips,Jumbo-100/Box-SPR85009</option>
<option>Pen,Ballpoint,Med Black-Dozen-PAP33311</option>
<option>Pen,Ballpoint,Med Red-Dozen-PAP33211</option>
<option>Pen,Ballpoint,Med Blue-Dozen-PAP33111</option>
<option>Pencil #2-Dozen-SPR5052</option>
<option>Plastic Cups-1 oz.-#60183</option>
<option>Post it Notes,Small 1/2x2 -12/pk-SPR19772</option>
<option>Post it Notes-Regular 3x3-Each-SPR19783</option>
<option>Post it Notes-Large 3x5-Each-SPR19784</option>
<option>Probe Covers-PC800</option>
<option>Sandals-Small-#1800</option>
<option>Sandals-Medium-#1800</option>
<option>Sandals-Large-#1800</option>
<option>Sandals-X Large-#1800</option>
<option>Scissors,Straight-Each-FSK2108</option>
<option>Scotch Tape-Each-MMM6200341296</option>
<option>Scotch Tape-6/pk-MMM6200341000</option>
<option>Shampoo-CSC128</option>
<option>Shirts,Navy-Small-#UNS</option>
<option>Shirts,Navy-Medium-#UNS</option>
<option>Shirts,Navy-Large-#UNS</option>
<option>Shirts,Navy-X Large-#UNS</option>
<option>Souffle cups-1 oz.-#60181</option>
<option>Stapler,Standard Black-Each-SW174701</option>
<option>Staples,Standard-Box-SPRHB210</option>
<option>Staple Puller-Each-SPR86000</option>
<option>Tape Dispenser,Black-Each-MMMC38BK</option>
<option>Tooth Brush-#BB37</option>
<option>Toothpaste-FM275</option>
<option>Trays,In/Out-Each-ELD16009</option>
</select></td>
<td nowrap>Qty: <select size="1" name="D7Qty">
<option selected></option>
<option>1</option>
<option>2</option>
<option>3</option>
<option>4</option>
<option>5</option>
<option>6</option>
<option>7</option>
<option>8</option>
<option>9</option>
<option>10</option>
<option>Other (See Notes below)</option>
</select></td>
</tr>
<tr>
<td align="right" nowrap>Item 8:&nbsp;&nbsp; <select size="1"
name="D8">
<option selected></option>
<option>Binder Clips,Small-12/Box-SPR87002</option>
<option>Binder Clips,Medium-12/Box-SPR87005</option>
<option>Binder Clips,Large-12/Box-SPR87010</option>
<option>Blankets-#2127</option>
<option>Combs-#C-7</option>
<option>Deodorant-PPI10150</option>
<option>Diskettes 3.5 DS/HD-10/pk-SPR71010</option>
<option>Envelopes,#10 white-500/box-SPR09100</option>
<option>Envelopes,#10 white/window-500/box-SPR09101</option>
<option>Envelope,Clasp 9x12-100/box-SPR08890</option>
<option>Envelope,Clasp 10x13-100/box-SPR08897</option>
<option>Envelope,Clasp 12x15 1/2-100/box-SPR08910</option>
<option>Hair Brush-#HB-02</option>
<option>Hair Nets-K200</option>
<option>Hand Sanitizer-case-AG46</option>
<option>Hanging Folders,1/5 Cut-25/Box-SPRSP5215</option>
<option>Highlighter-Yellow-Each-SAN25005</option>
<option>Legal Pad,Small 5x8-12/pk-SPR2058</option>
<option>Legal Pad,Regular 8 1/2x11-12/pk-SPR2011</option>
<option>Lotion-Hand and Body-#2173</option>
<option>Manila Folders,1/3 Cut-100/Box-SPRSP11113</option>
<option>Marker,Black Sharpie-Fine Point-Each-SAN30001</option>
<option>Marker,Black Dry Erase-Each-SAN83001</option>
<option>Marker,Dry Erase Set(Blk,Red,Grn,Blue)-Each-SAN83074</option>
<option>Maxi Pads-SN12</option>
<option>Mouthwash-AFM4</option>
<option>Pants,Navy-Small-#UNT</option>
<option>Pants,Navy-Medium-#UNT</option>
<option>Pants,Navy-Large-#UNT</option>
<option>Pants,Navy-X Large-#UNT</option>
<option>Paper, Copy 8 1/2x11-Single Ream</option>
<option>Paper, Copy 8 1/2x11-10 reams/case-HOP21200</option>
<option>Paper Clips,Regular-100/Box-SPR85001</option>
<option>Paper Clips,Jumbo-100/Box-SPR85009</option>
<option>Pen,Ballpoint,Med Black-Dozen-PAP33311</option>
<option>Pen,Ballpoint,Med Red-Dozen-PAP33211</option>
<option>Pen,Ballpoint,Med Blue-Dozen-PAP33111</option>
<option>Pencil #2-Dozen-SPR5052</option>
<option>Plastic Cups-1 oz.-#60183</option>
<option>Post it Notes,Small 1/2x2 -12/pk-SPR19772</option>
<option>Post it Notes-Regular 3x3-Each-SPR19783</option>
<option>Post it Notes-Large 3x5-Each-SPR19784</option>
<option>Probe Covers-PC800</option>
<option>Sandals-Small-#1800</option>
<option>Sandals-Medium-#1800</option>
<option>Sandals-Large-#1800</option>
<option>Sandals-X Large-#1800</option>
<option>Scissors,Straight-Each-FSK2108</option>
<option>Scotch Tape-Each-MMM6200341296</option>
<option>Scotch Tape-6/pk-MMM6200341000</option>
<option>Shampoo-CSC128</option>
<option>Shirts,Navy-Small-#UNS</option>
<option>Shirts,Navy-Medium-#UNS</option>
<option>Shirts,Navy-Large-#UNS</option>
<option>Shirts,Navy-X Large-#UNS</option>
<option>Souffle cups-1 oz.-#60181</option>
<option>Stapler,Standard Black-Each-SW174701</option>
<option>Staples,Standard-Box-SPRHB210</option>
<option>Staple Puller-Each-SPR86000</option>
<option>Tape Dispenser,Black-Each-MMMC38BK</option>
<option>Tooth Brush-#BB37</option>
<option>Toothpaste-FM275</option>
<option>Trays,In/Out-Each-ELD16009</option>
</select></td>
<td nowrap>Qty: <select size="1" name="D8Qty">
<option selected></option>
<option>1</option>
<option>2</option>
<option>3</option>
<option>4</option>
<option>5</option>
<option>6</option>
<option>7</option>
<option>8</option>
<option>9</option>
<option>10</option>
<option>Other (See Notes below)</option>
</select></td>
</tr>
<tr>
<td align="right" nowrap>Item 9:&nbsp;&nbsp; <select size="1"
name="D9">
<option selected></option>
<option>Binder Clips,Small-12/Box-SPR87002</option>
<option>Binder Clips,Medium-12/Box-SPR87005</option>
<option>Binder Clips,Large-12/Box-SPR87010</option>
<option>Blankets-#2127</option>
<option>Combs-#C-7</option>
<option>Deodorant-PPI10150</option>
<option>Diskettes 3.5 DS/HD-10/pk-SPR71010</option>
<option>Envelopes,#10 white-500/box-SPR09100</option>
<option>Envelopes,#10 white/window-500/box-SPR09101</option>
<option>Envelope,Clasp 9x12-100/box-SPR08890</option>
<option>Envelope,Clasp 10x13-100/box-SPR08897</option>
<option>Envelope,Clasp 12x15 1/2-100/box-SPR08910</option>
<option>Hair Brush-#HB-02</option>
<option>Hair Nets-K200</option>
<option>Hand Sanitizer-case-AG46</option>
<option>Hanging Folders,1/5 Cut-25/Box-SPRSP5215</option>
<option>Highlighter-Yellow-Each-SAN25005</option>
<option>Legal Pad,Small 5x8-12/pk-SPR2058</option>
<option>Legal Pad,Regular 8 1/2x11-12/pk-SPR2011</option>
<option>Lotion-Hand and Body-#2173</option>
<option>Manila Folders,1/3 Cut-100/Box-SPRSP11113</option>
<option>Marker,Black Sharpie-Fine Point-Each-SAN30001</option>
<option>Marker,Black Dry Erase-Each-SAN83001</option>
<option>Marker,Dry Erase Set(Blk,Red,Grn,Blue)-Each-SAN83074</option>
<option>Maxi Pads-SN12</option>
<option>Mouthwash-AFM4</option>
<option>Pants,Navy-Small-#UNT</option>
<option>Pants,Navy-Medium-#UNT</option>
<option>Pants,Navy-Large-#UNT</option>
<option>Pants,Navy-X Large-#UNT</option>
<option>Paper, Copy 8 1/2x11-Single Ream</option>
<option>Paper, Copy 8 1/2x11-10 reams/case-HOP21200</option>
<option>Paper Clips,Regular-100/Box-SPR85001</option>
<option>Paper Clips,Jumbo-100/Box-SPR85009</option>
<option>Pen,Ballpoint,Med Black-Dozen-PAP33311</option>
<option>Pen,Ballpoint,Med Red-Dozen-PAP33211</option>
<option>Pen,Ballpoint,Med Blue-Dozen-PAP33111</option>
<option>Pencil #2-Dozen-SPR5052</option>
<option>Plastic Cups-1 oz.-#60183</option>
<option>Post it Notes,Small 1/2x2 -12/pk-SPR19772</option>
<option>Post it Notes-Regular 3x3-Each-SPR19783</option>
<option>Post it Notes-Large 3x5-Each-SPR19784</option>
<option>Probe Covers-PC800</option>
<option>Sandals-Small-#1800</option>
<option>Sandals-Medium-#1800</option>
<option>Sandals-Large-#1800</option>
<option>Sandals-X Large-#1800</option>
<option>Scissors,Straight-Each-FSK2108</option>
<option>Scotch Tape-Each-MMM6200341296</option>
<option>Scotch Tape-6/pk-MMM6200341000</option>
<option>Shampoo-CSC128</option>
<option>Shirts,Navy-Small-#UNS</option>
<option>Shirts,Navy-Medium-#UNS</option>
<option>Shirts,Navy-Large-#UNS</option>
<option>Shirts,Navy-X Large-#UNS</option>
<option>Souffle cups-1 oz.-#60181</option>
<option>Stapler,Standard Black-Each-SW174701</option>
<option>Staples,Standard-Box-SPRHB210</option>
<option>Staple Puller-Each-SPR86000</option>
<option>Tape Dispenser,Black-Each-MMMC38BK</option>
<option>Tooth Brush-#BB37</option>
<option>Toothpaste-FM275</option>
<option>Trays,In/Out-Each-ELD16009</option>
</select></td>
<td nowrap>Qty: <select size="1" name="D9Qty">
<option selected></option>
<option>1</option>
<option>2</option>
<option>3</option>
<option>4</option>
<option>5</option>
<option>6</option>
<option>7</option>
<option>8</option>
<option>9</option>
<option>10</option>
<option>Other (See Notes below)</option>
</select></td>
</tr>
<tr>
<td align="right" nowrap>Item 10: <select size="1" name="D10">
<option selected></option>
<option>Binder Clips,Small-12/Box-SPR87002</option>
<option>Binder Clips,Medium-12/Box-SPR87005</option>
<option>Binder Clips,Large-12/Box-SPR87010</option>
<option>Blankets-#2127</option>
<option>Combs-#C-7</option>
<option>Deodorant-PPI10150</option>
<option>Diskettes 3.5 DS/HD-10/pk-SPR71010</option>
<option>Envelopes,#10 white-500/box-SPR09100</option>
<option>Envelopes,#10 white/window-500/box-SPR09101</option>
<option>Envelope,Clasp 9x12-100/box-SPR08890</option>
<option>Envelope,Clasp 10x13-100/box-SPR08897</option>
<option>Envelope,Clasp 12x15 1/2-100/box-SPR08910</option>
<option>Hair Brush-#HB-02</option>
<option>Hair Nets-K200</option>
<option>Hand Sanitizer-case-AG46</option>
<option>Hanging Folders,1/5 Cut-25/Box-SPRSP5215</option>
<option>Highlighter-Yellow-Each-SAN25005</option>
<option>Legal Pad,Small 5x8-12/pk-SPR2058</option>
<option>Legal Pad,Regular 8 1/2x11-12/pk-SPR2011</option>
<option>Lotion-Hand and Body-#2173</option>
<option>Manila Folders,1/3 Cut-100/Box-SPRSP11113</option>
<option>Marker,Black Sharpie-Fine Point-Each-SAN30001</option>
<option>Marker,Black Dry Erase-Each-SAN83001</option>
<option>Marker,Dry Erase Set(Blk,Red,Grn,Blue)-Each-SAN83074</option>
<option>Maxi Pads-SN12</option>
<option>Mouthwash-AFM4</option>
<option>Pants,Navy-Small-#UNT</option>
<option>Pants,Navy-Medium-#UNT</option>
<option>Pants,Navy-Large-#UNT</option>
<option>Pants,Navy-X Large-#UNT</option>
<option>Paper, Copy 8 1/2x11-Single Ream</option>
<option>Paper, Copy 8 1/2x11-10 reams/case-HOP21200</option>
<option>Paper Clips,Regular-100/Box-SPR85001</option>
<option>Paper Clips,Jumbo-100/Box-SPR85009</option>
<option>Pen,Ballpoint,Med Black-Dozen-PAP33311</option>
<option>Pen,Ballpoint,Med Red-Dozen-PAP33211</option>
<option>Pen,Ballpoint,Med Blue-Dozen-PAP33111</option>
<option>Pencil #2-Dozen-SPR5052</option>
<option>Plastic Cups-1 oz.-#60183</option>
<option>Post it Notes,Small 1/2x2 -12/pk-SPR19772</option>
<option>Post it Notes-Regular 3x3-Each-SPR19783</option>
<option>Post it Notes-Large 3x5-Each-SPR19784</option>
<option>Probe Covers-PC800</option>
<option>Sandals-Small-#1800</option>
<option>Sandals-Medium-#1800</option>
<option>Sandals-Large-#1800</option>
<option>Sandals-X Large-#1800</option>
<option>Scissors,Straight-Each-FSK2108</option>
<option>Scotch Tape-Each-MMM6200341296</option>
<option>Scotch Tape-6/pk-MMM6200341000</option>
<option>Shampoo-CSC128</option>
<option>Shirts,Navy-Small-#UNS</option>
<option>Shirts,Navy-Medium-#UNS</option>
<option>Shirts,Navy-Large-#UNS</option>
<option>Shirts,Navy-X Large-#UNS</option>
<option>Souffle cups-1 oz.-#60181</option>
<option>Stapler,Standard Black-Each-SW174701</option>
<option>Staples,Standard-Box-SPRHB210</option>
<option>Staple Puller-Each-SPR86000</option>
<option>Tape Dispenser,Black-Each-MMMC38BK</option>
<option>Tooth Brush-#BB37</option>
<option>Toothpaste-FM275</option>
<option>Trays,In/Out-Each-ELD16009</option>
</select></td>
<td nowrap>Qty: <select size="1" name="D10Qty">
<option selected></option>
<option>1</option>
<option>2</option>
<option>3</option>
<option>4</option>
<option>5</option>
<option>6</option>
<option>7</option>
<option>8</option>
<option>9</option>
<option>10</option>
<option>Other (See Notes below)</option>
</select></td>
</tr>
<tr>
<td align="right" nowrap>Item 11: <select size="1" name="D11">
<option selected></option>
<option>Binder Clips,Small-12/Box-SPR87002</option>
<option>Binder Clips,Medium-12/Box-SPR87005</option>
<option>Binder Clips,Large-12/Box-SPR87010</option>
<option>Blankets-#2127</option>
<option>Combs-#C-7</option>
<option>Deodorant-PPI10150</option>
<option>Diskettes 3.5 DS/HD-10/pk-SPR71010</option>
<option>Envelopes,#10 white-500/box-SPR09100</option>
<option>Envelopes,#10 white/window-500/box-SPR09101</option>
<option>Envelope,Clasp 9x12-100/box-SPR08890</option>
<option>Envelope,Clasp 10x13-100/box-SPR08897</option>
<option>Envelope,Clasp 12x15 1/2-100/box-SPR08910</option>
<option>Hair Brush-#HB-02</option>
<option>Hair Nets-K200</option>
<option>Hand Sanitizer-case-AG46</option>
<option>Hanging Folders,1/5 Cut-25/Box-SPRSP5215</option>
<option>Highlighter-Yellow-Each-SAN25005</option>
<option>Legal Pad,Small 5x8-12/pk-SPR2058</option>
<option>Legal Pad,Regular 8 1/2x11-12/pk-SPR2011</option>
<option>Lotion-Hand and Body-#2173</option>
<option>Manila Folders,1/3 Cut-100/Box-SPRSP11113</option>
<option>Marker,Black Sharpie-Fine Point-Each-SAN30001</option>
<option>Marker,Black Dry Erase-Each-SAN83001</option>
<option>Marker,Dry Erase Set(Blk,Red,Grn,Blue)-Each-SAN83074</option>
<option>Maxi Pads-SN12</option>
<option>Mouthwash-AFM4</option>
<option>Pants,Navy-Small-#UNT</option>
<option>Pants,Navy-Medium-#UNT</option>
<option>Pants,Navy-Large-#UNT</option>
<option>Pants,Navy-X Large-#UNT</option>
<option>Paper, Copy 8 1/2x11-Single Ream</option>
<option>Paper, Copy 8 1/2x11-10 reams/case-HOP21200</option>
<option>Paper Clips,Regular-100/Box-SPR85001</option>
<option>Paper Clips,Jumbo-100/Box-SPR85009</option>
<option>Pen,Ballpoint,Med Black-Dozen-PAP33311</option>
<option>Pen,Ballpoint,Med Red-Dozen-PAP33211</option>
<option>Pen,Ballpoint,Med Blue-Dozen-PAP33111</option>
<option>Pencil #2-Dozen-SPR5052</option>
<option>Plastic Cups-1 oz.-#60183</option>
<option>Post it Notes,Small 1/2x2 -12/pk-SPR19772</option>
<option>Post it Notes-Regular 3x3-Each-SPR19783</option>
<option>Post it Notes-Large 3x5-Each-SPR19784</option>
<option>Probe Covers-PC800</option>
<option>Sandals-Small-#1800</option>
<option>Sandals-Medium-#1800</option>
<option>Sandals-Large-#1800</option>
<option>Sandals-X Large-#1800</option>
<option>Scissors,Straight-Each-FSK2108</option>
<option>Scotch Tape-Each-MMM6200341296</option>
<option>Scotch Tape-6/pk-MMM6200341000</option>
<option>Shampoo-CSC128</option>
<option>Shirts,Navy-Small-#UNS</option>
<option>Shirts,Navy-Medium-#UNS</option>
<option>Shirts,Navy-Large-#UNS</option>
<option>Shirts,Navy-X Large-#UNS</option>
<option>Souffle cups-1 oz.-#60181</option>
<option>Stapler,Standard Black-Each-SW174701</option>
<option>Staples,Standard-Box-SPRHB210</option>
<option>Staple Puller-Each-SPR86000</option>
<option>Tape Dispenser,Black-Each-MMMC38BK</option>
<option>Tooth Brush-#BB37</option>
<option>Toothpaste-FM275</option>
<option>Trays,In/Out-Each-ELD16009</option>
</select></td>
<td nowrap>Qty: <select size="1" name="D11Qty">
<option selected></option>
<option>1</option>
<option>2</option>
<option>3</option>
<option>4</option>
<option>5</option>
<option>6</option>
<option>7</option>
<option>8</option>
<option>9</option>
<option>10</option>
<option>Other (See Notes below)</option>
</select></td>
</tr>
<tr>
<td align="right" nowrap>Item 12: <select size="1" name="D12">
<option selected></option>
<option>Binder Clips,Small-12/Box-SPR87002</option>
<option>Binder Clips,Medium-12/Box-SPR87005</option>
<option>Binder Clips,Large-12/Box-SPR87010</option>
<option>Blankets-#2127</option>
<option>Combs-#C-7</option>
<option>Deodorant-PPI10150</option>
<option>Diskettes 3.5 DS/HD-10/pk-SPR71010</option>
<option>Envelopes,#10 white-500/box-SPR09100</option>
<option>Envelopes,#10 white/window-500/box-SPR09101</option>
<option>Envelope,Clasp 9x12-100/box-SPR08890</option>
<option>Envelope,Clasp 10x13-100/box-SPR08897</option>
<option>Envelope,Clasp 12x15 1/2-100/box-SPR08910</option>
<option>Hair Brush-#HB-02</option>
<option>Hair Nets-K200</option>
<option>Hand Sanitizer-case-AG46</option>
<option>Hanging Folders,1/5 Cut-25/Box-SPRSP5215</option>
<option>Highlighter-Yellow-Each-SAN25005</option>
<option>Legal Pad,Small 5x8-12/pk-SPR2058</option>
<option>Legal Pad,Regular 8 1/2x11-12/pk-SPR2011</option>
<option>Lotion-Hand and Body-#2173</option>
<option>Manila Folders,1/3 Cut-100/Box-SPRSP11113</option>
<option>Marker,Black Sharpie-Fine Point-Each-SAN30001</option>
<option>Marker,Black Dry Erase-Each-SAN83001</option>
<option>Marker,Dry Erase Set(Blk,Red,Grn,Blue)-Each-SAN83074</option>
<option>Maxi Pads-SN12</option>
<option>Mouthwash-AFM4</option>
<option>Pants,Navy-Small-#UNT</option>
<option>Pants,Navy-Medium-#UNT</option>
<option>Pants,Navy-Large-#UNT</option>
<option>Pants,Navy-X Large-#UNT</option>
<option>Paper, Copy 8 1/2x11-Single Ream</option>
<option>Paper, Copy 8 1/2x11-10 reams/case-HOP21200</option>
<option>Paper Clips,Regular-100/Box-SPR85001</option>
<option>Paper Clips,Jumbo-100/Box-SPR85009</option>
<option>Pen,Ballpoint,Med Black-Dozen-PAP33311</option>
<option>Pen,Ballpoint,Med Red-Dozen-PAP33211</option>
<option>Pen,Ballpoint,Med Blue-Dozen-PAP33111</option>
<option>Pencil #2-Dozen-SPR5052</option>
<option>Plastic Cups-1 oz.-#60183</option>
<option>Post it Notes,Small 1/2x2 -12/pk-SPR19772</option>
<option>Post it Notes-Regular 3x3-Each-SPR19783</option>
<option>Post it Notes-Large 3x5-Each-SPR19784</option>
<option>Probe Covers-PC800</option>
<option>Sandals-Small-#1800</option>
<option>Sandals-Medium-#1800</option>
<option>Sandals-Large-#1800</option>
<option>Sandals-X Large-#1800</option>
<option>Scissors,Straight-Each-FSK2108</option>
<option>Scotch Tape-Each-MMM6200341296</option>
<option>Scotch Tape-6/pk-MMM6200341000</option>
<option>Shampoo-CSC128</option>
<option>Shirts,Navy-Small-#UNS</option>
<option>Shirts,Navy-Medium-#UNS</option>
<option>Shirts,Navy-Large-#UNS</option>
<option>Shirts,Navy-X Large-#UNS</option>
<option>Souffle cups-1 oz.-#60181</option>
<option>Stapler,Standard Black-Each-SW174701</option>
<option>Staples,Standard-Box-SPRHB210</option>
<option>Staple Puller-Each-SPR86000</option>
<option>Tape Dispenser,Black-Each-MMMC38BK</option>
<option>Tooth Brush-#BB37</option>
<option>Toothpaste-FM275</option>
<option>Trays,In/Out-Each-ELD16009</option>
</select></td>
<td nowrap>Qty: <select size="1" name="D12Qty">
<option selected></option>
<option>1</option>
<option>2</option>
<option>3</option>
<option>4</option>
<option>5</option>
<option>6</option>
<option>7</option>
<option>8</option>
<option>9</option>
<option>10</option>
<option>Other (See Notes below)</option>
</select></td>
</tr>
<tr>
<td colspan="2" align="right">
<p align="center">&nbsp;</p>
<p align="center"><font color="#0000FF"><b>Note: When adding items not

available in the above dropdown boxes, please include a model/part
number and the
desired location (ex. Staples, Amazon.com, name of website) to purchase
the item from.</b></font></p>
<p align="center">&nbsp;</p>
</td>
</tr>
<tr>
<td align="right" nowrap>Additional Item 1:
<input type="text" name="T1" size="47" value=""> </td>
<td nowrap>Qty: <select size="1" name="T1Qty">
<option selected></option>
<option>1</option>
<option>2</option>
<option>3</option>
<option>4</option>
<option>5</option>
<option>6</option>
<option>7</option>
<option>8</option>
<option>9</option>
<option>10</option>
<option>Other (See Notes below)</option>
</select></td>
</tr>
<tr>
<td align="right" nowrap>Additional Item 2:
<input type="text" name="T2" size="47" value=""> </td>
<td nowrap>Qty: <select size="1" name="T2Qty">
<option selected></option>
<option>1</option>
<option>2</option>
<option>3</option>
<option>4</option>
<option>5</option>
<option>6</option>
<option>7</option>
<option>8</option>
<option>9</option>
<option>10</option>
<option>Other (See Notes below)</option>
</select></td>
</tr>
<tr>
<td align="right" nowrap>Notes to Purchasing:
<textarea rows="3" name="Notes" cols="33"></textarea></td>
<td nowrap>&nbsp;</td>
</tr>
<tr>
<td align="right" nowrap> <input type="submit" value="Submit"
name="B1"></td>
<td nowrap>
<input type="reset" value="Clear Form" name="B2"></td>
</tr>
</table>
</Center>

</form>

</body>

</html>
 

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