Bringing Prevention into the Classroom

Order Form

Ship to:

Name:________________________________________________________

Department:____________________________________________________

Institution: _____________________________________________________

Address: ______________________________________________________

City/State: _____________________________________________________

Zip Code: ________________________   Phone: ______________________

QTY

ITEM

COST

_____ Bringing Prevention into the Classroom;
Videotapes and Facilitator's Guide

$249.99

_____ Bringing Prevention into the Classroom:
Faculty Write-ups of Curriculum Infusion

$99.99

_____ Regular Shipping (first class mail)

$9.00

_____ Overnight UPS

$40.00

Total Enclosed: $_________

Send order form with payment to:

 

Network for Dissemination of Curriculum Infusion
Northeastern Illinois University
5500 North St. Louis Ave., SCI-217A
Chicago IL 60625-4699
Tel: (773) 442-4908 Fax: (773) 442-4908
E-mail:
http://www.neiu.edu/~cinfusi/
http://www.neiu.edu/~k12pac/

All orders must be prepaid.
Make checks payable to
Northeastern Illinois University
(FEIN: 36-60095-15).
Most orders arrive in 10 days or less.
Call ahead if requesting overnight shipping.

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