ORDER FORM

þ Yes, I'd like to purchase The New Minnesotans Toolkit for $20!

     Name: 

     Organization: 

     Street Address: 

     City:   State:   Zip: 

     Phone:     Email:   

     Number of Toolkits Ordered:    x $20 = 

     Payment Options

       I am paying by check made payable to Neighborhood House. 

           Please reference code 4300-425 in the memo.

       I am paying by Credit Card.

              Credit Card #:   

              Name on Card:

              Expiration Date:  

         Please invoice me at the address listed above.

Neighborhood House is a 501 (c)(3) organization with the

Federal ID# of 41-0693916.

Please make checks payable to:

Neighborhood House

Attn: Minnesota Community Campaign

179 Robie Street E.

Saint Paul, MN 55107