Oct 13 2022 Online Order ORDER FORM The 2004 Scan Ohio United Way Member cost: $20.00 Non-Member cost: $30.00 I understand that I will be billed for this order. Ohio United Way Member? Yes/No: Number of Copies: Tax Exempt? Yes/No: If Yes then please provide Tax ID number Name: Organization: Address: City: State: ZipCode: Phone: Please allow 2 weeks for delivery