LET KIDS BE KIDS

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PURCHASE ORDER FORM

BROCHURES: (For requests outside of North Carolina and quantities for more than 200/order for N. C. residents) COST: $0.20/brochure (includes shipping and handling)	______ Number of brochures ______ Total cost of brochures
VIDEOTAPES "THE SEXUAL EXPLOITATION OF CHILDREN IN ADVERTISING" COST: $6.00/videotape (includes shipping and handling)	______ Number of copies of videotapes ______ Total cost of videotapes
PICTURE FRAMES COST: $3.50/picture frame (includes shipping and handling)	______ Number of picture frames ______ Total cost of picture frames Choice of style: Number of red hearts: __________ Number of Blue rectangles: ______
Your Name: ________________________________ Affiliation: _________________________________ Address: __________________________________ City: _____________________________________ State: _____________        Zip: ________________ Total Cost of Order: _________________________ (Make checks payable to the N. C. Pediatric Society)      NOTE: NCCAN reserves the right to limit quantities	Mail order form with payment to:            N.C. Medical Society      ATTN: Cynthia Moss      Post Office Box 27167      Raleigh, N.C. 27611

Mail to 
The Committee on Child Abuse & Neglect
North Carolina Pediatric Society 
P.O. Box 27167
Raleigh, NC 27611

For more Information about orders email:
The Committee on Child Abuse & Neglect

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