The Kinship Care Practice Project Curriculum & Videos Order Form

Please complete the Curriculum & Video Order Form below. After you have filled out the form, please print and mail it with a check equal to the "Total." Checks should be payable to the University of Illinois and mailed to Dr. Jim Gleeson at the address below. If you have any questions, please call (312) 996-0042.

(THIS IS NOT AN INTERACTIVE FORM)

Item	Qty	Price	Amount
Curriculum only		$25.00	$
Videotapes only		$25.00	$
Curriculum & Videotapes		$42.00	$
CD Version of Curriculum & Videos		$8.00	$
The prices for the curriculum materials include shipping.		Total:	$
Full Name
Organization
Address 1
Address 2
City, State, & Zip
E-mail Address
Phone
mail Curriculum Orders to: The Kinship Care Practice Project Jane Addams College of Social Work University of Illinois at Chicago 1040 W. Harrison Street, Fourth Floor Chicago, IL 60607-7134