ORDER FORM

The

2001 Scan

 

Ohio United Way Member cost: 

$15.00

Non-Member

cost:  $25.00

 

Please

add 5.75% sales tax to total or include tax exempt form with your order.

Shipping is already included in price.

 

Please

send _________ copies of The 2001 Scan.

 

I

have enclosed a check for $            

 made payable to

Ohio

United Way.

 

Name:_______________________________________________

Organization:_________________________________________

Address:_____________________________________________

City:___________________State:___________Zip:__________

Phone:_____________________________

Mail to:

Ohio United Way, Attn:  Data Center, 88 East Broad Street, Suite 620, Columbus, Ohio 

43215  (614) 224-8146

 

Or FAX to:  Ohio

United Way at (614) 224-6597