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Order Form for ReEntry Guide Colorado

This document is an order form for a reentry guide for individuals leaving the Colorado criminal justice system. It requests the customer's contact information and payment details. The form provides instructions for mail delivery, noting that orders for incarcerated individuals must be sent directly from the publisher to the correctional facility.

Uploaded by

William Hughes
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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18 views2 pages

Order Form for ReEntry Guide Colorado

This document is an order form for a reentry guide for individuals leaving the Colorado criminal justice system. It requests the customer's contact information and payment details. The form provides instructions for mail delivery, noting that orders for incarcerated individuals must be sent directly from the publisher to the correctional facility.

Uploaded by

William Hughes
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Order Form Getting On After Getting Out: A ReEntry

Guide for Colorado

Name_________________________________________________________________________
Address_______________________________________________________________________
City_______________________________________ State________________ Zip ___________
Telephone_____________________________ Email___________________________________ Please
add me to the CCJRC mailing list to receive our quarterly newsletter and other information about
CCJRC activities and volunteer opportunities.

ORDER Getting On After Getting Out $10.00 per copy


Quantity: ________ x $10.00 per copy $______________
(includes all applicable state
and local taxes) Shipping and handing x $2.50 per copy $______________ (
media rate USPS

)
TOTAL PAYMENT DUE $______________
If you are ordering on behalf of a nonprofit organizations or government agency that has been exempted
from city and state sales tax, please check the box below and submit a copy of the Colorado state and city/
county tax exemption certificate.
Tax exempt

PAYMENT Please indicate your payment method:


Check or money order enclosed Visa Mastercard Amex Discover Credit card
#__________________________________ Credit card expires____________
SIGNATURE_________________________________
DELIVERY INSTRUCTIONS(PLEASE BE ADVISED: If you are ordering this guide and want it mailed to
someone in the Colorado Department of Corrections, CCJRC needs to mail the guide to him/her directly. AR 30038 says that only the publisher, bookstore or other approved source of supply can mail books to people in prison.)

Please send my order to:


Name_________________________________________________________________________
Address_______________________________________________________________________
City_____________________________State ________________ ZIP code_________________
1212 Mariposa St., Suite 6, Denver, Colorado 80204 (303) 825-0122 phone (303) 825-0304fax
website:[Link] email: info@[Link]

Colorado
Criminal Justice Fieform Coalition
Prevention, treatment, and alternatives Work Prison should be the last resort

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