Enclosed please find my contribution of $______________
Name: ___________________________________________
Address: ___________________________________________
City/State/Zip: ___________________________________________
Phone: ______________________________
Email: _______________________________
Donation is for: Gift: __________________________________
Memorial: __________________________________
Self: __________________________________
Please send acknowledgement of donation to:
Name: _______________________________________
Address: ______________________________________
City/State/Zip: ________________________________________
Order Form
|
Material |
QTY |
Price |
Total |
|---|---|---|---|
| Parent Package |
$ 3.00 |
||
| Annotated Bibliography - Effectiveness |
$ 1.00 |
||
| Bibliopgraphy - Coded English |
$ 1.00 |
||
| Questions Parents Should Ask |
$ 1.00 |
||
| "ILY" Cookie Cutter |
$ 3.00 |
||
| All in Favor: Cookbook |
$ 5.00 |
||
| Deafness - The Hidden Handicap |
$ 7.00 |
||
| Growing Up with S.E.E. |
$ 7.00 |
||
|
Subtotal of order: |
|||
|
Total of order: |
|||
Call (562) 430-1467 (Voice or TDD) to place your order
For Check or money order please print this form and make checks payable to:
S.E.E. Center
mail to:
S.E.E. Center
P.O. Box 1181
Los Alamitos, CA 90720
NOTE: you can specify your United Way pledge to be given to the S.E.E. Center