Ohio United Way – Live United

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