Help Hotline Crisis Center, Inc.
2010 Mahoning Valley Resource Directory
Order Form
Ordered by: Ship to (if different):
Name___________________________________ Name_____________________________________
Address_________________________________ Address___________________________________
City/State/Zip_____________________________ City/State/Zip________________________________
Tax exempt number, if non-profit: ___________________________________________________
Telephone: _______________________________ Fax: ______________________________
QUANTITY DESCRIPTION UNIT PRICE TOTAL PRICE
Help Hotline 2010 Mahoning Valley $15.00
Resource Directory each
40 pages of indexing 104 pages of program descriptions
Add 6.75% tax
Page size 8 ½” by 11” unless Tax exempt
Shipping
Please include: This order form, along with $3.50 each
your check, money order, or purchase order
TOTAL
Made payable to: Help Hotline Crisis Center, Inc.
P.O. Box 46
Youngstown, OH 44501-0046
Please allow 2-4 weeks for shipping.
DIRECTORIES NOT BEING MAILED MAY BE PICKED UP AT:
Help Hotline Payee Program - Office Lobby
261 E. Wood St., (Southwest corner of Wood and Watt Streets) - Youngstown, Ohio
Mon., Tues., or Thurs. from 10 am to 3 pm or Fri. from 10 am-noon.
For Office Use Only - Help Hotline Billing Department
Date received _________________ Invoice Number _________________
Payment received _________________ Purchase Order No. _________________
Date shipped/picked up _________________ Terms: $15.00 per directory + 6.75% tax unless Tax exempt
Special instructions: _________________ $ 3.50 shipping per directory
______________________________________ Shipped via USPS (Bound Matter)