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Get Federal Quota Order Form

Order Form for Agencies Using Federal Quota Funds American Printing House for the Blind Inc. 1839 Frankfort Avenue Mailing Address P. O. Box 6085 Louisville Kentucky 40206-0085 Phone 502-895-2405 FAX 502-899-2274 Toll Free 800-223-1839 E-mail info aph. org Customer Order Order Date Signature of Ex Officio Trustee Note The Signature of the Ex Officio Trustee hand signed or stamped must appear above. SHIP TO Please print clearly Name Bill To School Address NYS Education Department Resource Center for Visually Impaired 2A Richmond Avenue Batavia NY 14020 E-Mail LDeSanti mail*nysed*gov Phone 585 343-5384 Fax 585 343-0652 Student Phone APH Catalog Qty. O. Box 6085 Louisville Kentucky 40206-0085 Phone 502-895-2405 FAX 502-899-2274 Toll Free 800-223-1839 E-mail info aph. org Customer Order Order Date Signature of Ex Officio Trustee Note The Signature of the Ex Officio Trustee hand signed or stamped must appear above. org Customer Order Order Date Signature of Ex Officio Trustee Note The Signature of the Ex Officio Trustee hand signed or stamped must appear above. SHIP TO Please print clearly Name Bill To School Address NYS Education Department Resource Center for Visually Impaired 2A Richmond Avenue Batavia NY 14020 E-Mail LDeSanti mail*nysed*gov Phone 585 343-5384 Fax 585 343-0652 Student Phone APH Catalog Qty. O. Box 6085 Louisville Kentucky 40206-0085 Phone 502-895-2405 FAX 502-899-2274 Toll Free 800-223-1839 E-mail info aph. org Customer Order Order Date Signature of Ex Officio Trustee Note The Signature of the Ex Officio Trustee hand signed or stamped must appear above. SHIP TO Please print clearly Name Bill To School Address NYS Education Department Resource Center for Visually Impaired 2A Richmond Avenue Batavia NY 14020 E-Mail LDeSanti mail*nysed*gov Phone 585 343-5384 Fax 585 343-0652 Student Phone APH Catalog Qty.

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