Parent/Educator Order Form
The following order form can be used to order video tapes and publications from PEATC. The form is non-interactive. It must be printed out and "snail-mailed."
Parent Educational Advocacy
Training Center
6320 Augusta Drive, Suite 1200
Springfield, VA 22150
Quantity |
Title (shipping cost in parentheses) |
Price | Total |
| Beginning with Families: A Parent's Guide to Early Intervention ($2 shipping) Available in
(circle languages desired): |
$5.00 | ||
| Shared Decisions: Problem Solving and Mediation in Early Intervention (shipping included) | $5.00 | ||
| Taking Charge: A Parent's Guide to Health Care for Children with Special Needs ($2 shipping) | $5.00 | ||
| Unlocking the Door: A Parent's Guide to Supported Inclusive Education ($2 shipping) | $5.00 | ||
| Video: Partnerships for Special Education: What a Great IDEA! (shipping included) | $10.00 | ||
| Video: Managed Care Maze: What About the Children? Video & Viewing Guides ($3 shipping) | $30.00 parents $50.00 |
||
| Video: Understanding Special Education ($3 shipping) | $30.00 | ||
| Subtotal | |||
| 4.5% VA Sales Tax (for VA residents) and shipping costs (in parentheses above) | |||
| Total Due (payable to PEATC) | |||
Name: _____________________________________________________________________
Address: ____________________________________________________________________
____________________________________________________________________
Daytime Telephone: ___________________________________________________________
Note: If you are a VA tax-exempt organization, please enclose a copy of your tax-exempt certificate.