Project CONNECT Dissemination Package

NAME: ______________________________________________________

Billing Address: ___________________________________________

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Phone: __________________________ Fax: _____________________

Email:______________________________________________________

Shipping Address (if different from billing address above):

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Quantity: ______________________

$10 each, includes shipping and handling
Please make check payable to UNIVERSITY OF OREGON

Print order form and mail with check to:

Project CONNECT Dssemination Package
Center for Electronic Studying
University of Oregon
1244 Walnut St., Suite D
Eugene, OR 97403

For more information: jmnims@oregon.uoregon.edu or 541-346-2544