SPECIAL EDition

graphic design of school children raising their hands with school houses in the background

SPECIAL EDition Order Form

Check one:

_______ I am a parent, foster parent, or surrogate parent of a child with a disability

_______ I am a professional or service provider

Name: _________________ Mailing Address:__________________________

City: _________________ State: _____ Zip code: ______________________

E-mail address: (optional) __________________________________________

Phone Number: (optional) __________________________________________

Subscriptions for single copies are free. A $10 contribution to Advocacy, Inc. to cover printing and postage charges is appreciated, but not required. To help us keep costs down, you will be asked annually to resubmit an order form.

Make checks payable to: Advocacy, Inc. 7800 Shoal Creek Blvd. Suite 171-E Austin, TX 78757

SPECIAL EDition, Winter 2002