Materials Order Form Shipping Information Date Materials Needed: Send To Name: Organization Name: Phone Number: Email Address: Send A Copy Of This Completed Form To Email Address: Street Address (for UPS): City: State: Zip Code: Kansas County: Event Title: Is This Event For Educational Purposes? No Yes Audience Age Range: [ Select ] Children Elementary School Middle School High School Adult AARP General Public Number Of Participants Expected: Additional Requests: Available Materials Where indicated below, materials are packaged in the quantities shown. The package counts are just for your reference, and you may order any number of the printed materials, not just the package quantities. As an example, for a given item, you could order a quantity of 75, even though a package count of 100 is shown. All materials are available free of charge. If you have questions, call 1-800-416-2522 or email us at ktsro@dccca.org. Pkg Qty Audience NumberTo Order Occupant Protection Law Card (English and Spanish) 100 General Public/LE Booster Poster 1 General Public Booster Flyer (English and Spanish) 100 General Public Teen Poster 1 Junior High/High School GDL Law Cards 100 Junior High/High School GDL Law Cards - Spanish 100 Junior High/High School Ultimate Car Seat Guide Cards - English 50 General Public Ultimate Car Seat Guide Cards - Spanish 50 General Public Distracted Driving Flyer 100 General Public Distracted Driving Poster 1 General Public Pregnancy Seatbelt Flyer 100 General Public Impaired Driving DUI Brochure (English and Spanish) 100 General Public/LE MIP Brochure (English and Spanish) 100 General Public/LE Underage Drinking Poster 1 General Public/LE Fake ID Poster 1 General Public/LE Motorcycle Motorcycle Law Card (English and Spanish) 100 General Public/LE Motorcycle Poster: Respect the Ride 1 General Public/LE $50 Motorcycle Flyer 100 General Public/LE Older Driver Materials Older Driver Brochure 100 General Public/LE DOSCI Card 100 Law Enforcement Only Older Driver Poster 1 General Public Retire Your Keys Poster 1 General Public Educational Items Booster Measure Up Cards 50 General Public WHALE ID Stickers (Car Seat Contact Information) 100 General Public Kansas Coloring Book (English and Spanish) 25 General Public Recall Cards 50 General Public Fact Sheets English Packet 1 General Public Spanish Packet (Same sheets as English) 1 General Public It's All About Safety It's All About Safety - English Brochure 100 General Public It's All About Safety - Spanish Brochure 50 General Public
