Listen to the Children Video Order Form
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To obtain a FREE copy of the video and the companion Discussion Guide, complete the form below and send it to: Joan Scheuer Public libraries with limited funding may request a complimentary copy via letter on official stationery. |
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| Please Print Clearly | |
| Name | _____________________________________________ |
| Organization | _____________________________________________ |
| Address | _____________________________________________ _____________________________________________ |
| Number of Videotapes | _____________________________________________ |
| If video is to be shown to a group, the name of the group | _____________________________________________ |
| Day Phone Number | _____________________________________________ |
| E-mail address | _____________________________________________ |
| Send video(s) to this address (if different from above) |
_____________________________________________ _____________________________________________ |