Order Materials

Print this order form and either fax or mail to MAPP. Phone orders may also be called in to our agency.

Please allow 2-3 weeks for delivery. Unless you request otherwise, orders are shipped via surface. For deliveries to Alaska, Hawaii and outside the U.S., Please call for shipping rates. Sorry, but we can not deliver to P.O. Boxes.

ORDERED BY: NAME:___________________________________________ ADDRESS:_______________________________________ CITY:____________________________________________ STATE:____________________ ZIP:_________________ DAYTIME PHONE:________________________	SHIP TO: NAME:___________________________________________ ADDRESS:_______________________________________ CITY:____________________________________________ STATE:____________________ ZIP:_________________ DAYTIME PHONE:________________________
METHOD OF PAYMENT:
CHECK or MONEY	PAYABLE TO MAPP
MasterCard/VISA/AMERICAN EXPRESS	ACCT. No:______________________EXP:____________
NAME AS IT APPEARS ON CARD:	__________________________________________________
SIGNATURE:	__________________________________________________
ORDERING INFORMATION:
Please allow 2-3 weeks for delivery, unless you request otherwise, orders are shipped ground delivery. For deliveries to Alaska, Hawaii, and outside the U.S., please call for shipping rates. Sorry , but we can not deliver to P.O. Boxes.
Please mail this order form to MAPP, 429 Livernois, Ferndale MI 48220; Or fax to (248) 545-3313. Phone orders can be called in at (888) A CONDOM (226-6366).

Quantity	Item	Color/Size	Price Each	Total
	Poster 1 (Out, Proud, Sober)		$1.00
	Poster 2 (Absolute Caution)		$1.00
	Poster 3 (If You Drink To Forget)		$1.00
	Poster 4 (This Cocktail Leads)		$1.00
	Opinion Leader Manual		$5.00
	Teen A.D.A.P.T. Field Guide		$3.00
	Gay/Lesbian Sensitivity Manual		$5.00
	Postcard (Out, Proud, Sober)		$0.50
	Print Ad Slicks*		$2.00
	Print Ads in Disc

* Includes copies of each poster image at the sizes noted on the Media page.

SUBTOTAL
In Michigan add 6% sales Tax
Shipping & Handling (See chart below)
Total Due

Shipping & Handling:

Orders up to $10.00 add $3.50, $10.01 to $25.00 add $4.50, $25.01 to $50.00 add $5.50, $50.01 to $75.00 add $6.50, $75.01 to $100.00 add $7.50, $100.01 or more add 10% to your order.