Blindskills, Inc.           Back to Publications      Book Order Form (Word)        Book Order Form (PDF)
P.O. Box 5181
Salem, OR 97304-0181
(800) 860-4224 or (503) 581-4224
Fax: (503) 581-0178
info@blindskills.com

Order Form

Name:___________________________________________________________

Organization: ________________________________________________

Street:________________________________________________________

City:______________________________ State:_____ Zip:____________

Country/Postal Code:___________________________

Telephone:___________________

E-mail: ________________

Publications

Visa, MasterCard, checks and money orders are accepted. Make checks and money orders payable to Blindskills, Inc.

Please indicate how many copies you would like to order of each format.

CONNIE'S KITCHEN ($20 per copy)

_______Braille ______ Large Print

JOB HUNTING RESOURCES FOR PEOPLE WITH VISION IMPAIRMENTS ($10 per copy)

______Cassette ______ Large Print _______IBM Diskette

WHERE DO I GO FROM HERE? (one free copy, additional copies $5 per set) ______Cassette

Enclosed amount: $ _________________

VISA/MC number:________________________________________ Exp. Date: __________

Authorized Signature: _______________________________________________________

Please send me a free sample issue of DIALOGUE.

___ YES ___ NO

Please indicate your preferred format.

_______Braille ______Cassette ______ Large Print _______IBM Diskette ______E-mail

Important: The following item is required by the United States Postal Service in order to document the FREE MATTER eligibility of our readers. Please circle one.

This publication is for the use of a person who is: (Circle One)
Legally Blind     Deaf/Blind     Sighted

Please correspond in: ___ Braille ___ Print