2016 Alabama Kids Count Data Book COST Organiza onal Members—First copy is FREE; each addi onal copy is $30 Individual Supporters (minimum dona on $25) — $30 each Non‐members — $50 each
HOW TO ORDER Contact us as:
[email protected] or 334‐213‐2410 x 103 Print, fax or mail this form to 334‐213‐2413 or P. O. Box 4576, Montgomery, AL 36103‐4576 Name _____________________________________________________________________________________ Organiza on ________________________________________________________________________________ Mailing Address _____________________________________________________________________________ City, State, Zip _______________________________________________________________________________ In case of ques ons, please provide a phone number: (_______) _____________________________________ Member Status: ____ Organiza onal Member ____ Individual Supporter _____ Non‐Member It’s a great me to join and take advantage of the discount. Just a ach your membership form to this form. _____ Number of Books Requested (If you are an Organiza onal Member your FREE Data Book will be mailed automa cally as soon as books arrive in our office. Use this form only if you wish to order addi onal copies.)
Payment:
____ Check a ached
____ Please charge to my credit card
____ Invoice me P.O.#__________________________________ □ Visa □ MasterCard □ Discover □ American Express
Name on card: ________________________________________________________________________________ Billing Address: _______________________________________________________________________________ ____________________________________________________________________________________________ Card Number: ________________________________________________________________________________ ExpiraƟon Date: _________/_________ CVC Code (3 digit code on the back): __________ Signature (required): __________________________________________________________________________
FREE to view or download online at www.alavoices.org/alabama_kids_count
P. O. Box 4576, Montgomery, AL 36103 | 334.213.2410 | www.alavoices.org
