Paul V. Sherlock Center on Disabilities

Publication Order Form

1. PUBLICATION(S) REQUESTED:

Space Cell	QTY	TOTAL $
A Parent's Guide to Inclusion (FREE) - 25 Maximum Order	QTY	TOTAL $
Child Outreach Screening Pamphlet - English (FREE) - 100 Maximum Order	QTY	TOTAL $
Child Outreach Screening Pamphlet - Spanish (FREE) - 100 Maximum Order	QTY	TOTAL $
Early Intervention Folder - 100 Maximum Order - Available to Early Intervention Providers Only	QTY	TOTAL $
Effective Practices for Students with Disabilities that Significantly Affect Function (FREE) - 100 Maximum Order	QTY	TOTAL $
Family-Centered Practice: How are we doing? - English (FREE) - 100 Maximum Order	QTY	TOTAL $
Family-Centered Practice: How are we doing? - Spanish (FREE) - 100 Maximum Order	QTY	TOTAL $
Guide to Accessing Employment Supports from the RI Division of Developmental Disabilities (FREE) - 100 Maximum Order	QTY	TOTAL $
Guide to Your Child's Hearing Assessment (FREE) - 100 Maximum Order	QTY	TOTAL $
Raising the Self-Determined Child: Tips for Parents of Children with Intellectual and Developmental Disabilities (complimentary parent/family member copy)	QTY	TOTAL $
Raising the Self-Determined Child: Tips for Parents of Children with Intellectual and Developmental Disabilities (Pack of 5, $7.00)	QTY	TOTAL $
Raising the Self-Determined Child: Tips for Parents of Children with Intellectual and Developmental Disabilities (Pack of 10, $12.00)	QTY	TOTAL $
Raising the Self-Determined Child: Tips for Parents of Children with Intellectual and Developmental Disabilities (Pack of 25+, $25 or 1.00 per copy)	QTY	TOTAL $
RI Early Intervention Procedural Safeguards & Funding (English) - 100 Maximum Order - Available to Early Intervention Providers Only	QTY	TOTAL $
RI Early Intervention Procedural Safeguards & Funding (Spanish) - 100 Maximum Order - Available to Early Intervention Providers Only	QTY	TOTAL $
RI Early Intervention Rack Card (FREE) - 100 Maximum Order	QTY	TOTAL $
RI Early Intervention Rack Card - Spanish (FREE) - 100 Maximum Order	QTY	TOTAL $
RI Early Intervention Vision Services (FREE) - 100 Maximum Order	QTY	TOTAL $
RI's Family Guide to Participation in the Child Outcomes Measurement Process - English (FREE) - 100 Maximum Order	QTY	TOTAL $
RI's Family Guide to Participation in the Child Outcomes Measurement Process - Spanish (FREE) - 100 Maximum Order	QTY	TOTAL $
RI Early Intervening Planning Guide for Children who are Deaf or Hard of Hearing Spanish (Free) - 100 Maximum Order	QTY	TOTAL $
RI Early Intervening Planning Guide for Children who are Deaf or Hard of Hearing English (Free) - 100 Maximum Order	QTY	TOTAL $
Self-Directed Supports Users Fact Sheet (FREE) - 100 Maximum Order	QTY	TOTAL $
Self-Directed Supports Users Fact Sheet - Spanish (FREE) - 100 Maximum Order	QTY	TOTAL $
Transition from Early Intervention: A Family Guide - English (FREE) - 100 Maximum Order	QTY	TOTAL $
Transition from Early Intervention: A Family Guide - Spanish (FREE) - 100 Maximum Order	QTY	TOTAL $
Transition from Early Intervention: A Family Guide - Portuguese (FREE) - 100 Maximum Order	QTY	TOTAL $
Welcome to EI - English (FREE) - 100 Maximum Order	QTY	TOTAL $
Welcome to EI - Spanish (FREE) - 100 Maximum Order	QTY	TOTAL $

To order BrightStars Pamphlets, please email BrightStars at info@riaeyc.org with your request.

2. INDIVIDUAL PLACING ORDER:

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Email Address *This question is required.

Fax Number

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3. FOLLOW UP:
May we follow up with you by email to obtain brief feedback on how you used the publication/s requested and your overall satisfaction with the publication/s? *This question is required.

4. DELIVERY: *This question is required.

Note: Items shipped will incur a shipping fee. Shipping costs are determined by USPS Postage prices at the time an order is placed. If your order will be shipped, your confirmation email will include the shipping charge to be added to the total of your purchase order or payment.

Items will not be shipped until a purchase order or payment has been received.

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PAYMENT: *This question is required.

Federal ID #: 05-6016315

Purchase Order #: *This question is required.

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Check #: *This question is required.

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Make check payable to: Sherlock Center/Rhode Island College, attach to a copy of your order confirmation email, and mail it to the attention of Bernice Panicci, Paul V. Sherlock Center on Disabilities, 600 Mount Pleasant Ave., Providence, RI 02908.

Send invoice to:

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