Say NO to Tobacco!
      Order Form

                                                                                                Quantity         Donation

Say NO to Tobacco! Workbook--Donation of $6.00                                            
($2.37 is tax deductable)                                                      _______          _________

Signed copy of Say NO to Tobacco
Donation of $10.00 ($7.37 is tax deductable)                     _______          _________

Posters (11”X17”) Donation of $10.00 each
($8.22 is tax deductable)                                                      _______          _________

Shipping

Orders up to $24, add $4.95                                                                        _________

Orders up to $48, add$10.35                                                                       _________

Orders up to $72, add $13.95                                                                      _________

Grand Total                                                   _________

Your Name____________________________________

Address_____________________________________________________________

City_____________________________State__________________Zip___________

Order form can be faxed at (937) 439-1700 or emailed to aaycd.52@gmail.com

 

Checks should be made payable to AAC-AAYCD and mailed to:

AAYCD

PO Box 751512

Centerville, Ohio?? 45475

 

For any questions, email us at aaycd.52@gmail.com or call 937-239-8577.