ORDER FORM

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Social Skills

Violence Prevention Skills

Grades:	PreK-K	1-3	4-6	7-12	Elementary	Secondary
Cost per book:	$29.95	$29.95	$29.95	$29.95	$29.95	$29.95
Number of Books per grade:	______	______	______	______	______	______
Cost per grade:	______	______	______	______	______	______

Total cost of books:	__________	(add all costs per grade)
Shipping and Handling:	__________	($5.00 for first book plus $3.00 for each additional book)
TOTAL Payment:	__________

Please Type or Print:

NAME________________________________________________________________

ADDRESS_____________________________________________________________

CITY__________________________________STATE___________ZIP___________

Email:_______________________________________Phone:___________________

Make check or purchase order payable to:

Society for Prevention of Violence
3439 West Brainard Road, Rm. 206
Woodmere, OH 44122-4273

Phone/Fax: (216) 591-1876
Email: spvmail@worldnet.att.net

If you have any questions, please contact the office.

 

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