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We are BRAVE Toolkit Order Form
Quantity
Enter quantity in the box below.
*
We Are BRAVE Toolkit = starting $35/each including shipping and handling
The total will appear on the next page and you will have a chance to confirm before it is processed.
Your order will be shipped in 7-10 days.
Donation
The price of our toolkit covers only cost of printing and getting it to you. It does not include the time and talent it took our staff and partners to develop this curriculum. Please consider supporting this reproductive justice with a generous donation!
Advocate ($35.00)
Activist ($50.00)
Champion ($100.00)
Shipping Information
First Name
*
Last Name
*
Organization (if business address)
Street Address
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City
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State
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
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Louisiana
Maine
Maryland
Massachusetts
Michigan
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Mississippi
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Montana
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New Hampshire
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New York
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Ohio
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Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
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Phone Number
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Email Address
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Credit Card and Billing Information
Name on Card
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Credit Card Type
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Visa
MasterCard
American Express
Credit Card Number
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Expiration Date (mm/yy)
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Code from back of card
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Billing Address if different from above
City
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
Comments or Questions?
Enter them here or contact Jamee Greer, jameeg@wscpdx.org
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