Father Poster Order Form

 To order:

Complete the form and mail with payment to:
Day Care & Child Development Council of Tompkins County
609 West Clinton Street
Ithaca, NY 14850

OR

Complete the form and fax with MasterCard or VISA information to: 607-273-3141

Quantity
Item
Unit Price
Total Price
Poster #1
$8.00
Poster #2
$8.00
Poster #3
$8.00
Set of 3 Posters
$20.00
Subtotal
Tax (@ 8% or enclose tax exempt certificate)
Total Enclosed
Send to:

Name:
Organization:
Address:
City:
State:
Zip:
Daytime Telephone:
E-Mail Address:
Check is enclosed, payable to The Day Care Council
Charge to VISAMasterCard
Card number:
Expiration date:
Name card is issued in:
Signature:
How did you hear about these posters?
Conference WebsiteWord of MouthOther (please specify)