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	Mailing List Forms
	Please fill in the areas below to add your name and address to our mailing list.  Check any request for hard copy (Alternate  Formats) and submit your request to the Tools for Life Coordinator.  You will receive an email confirmation that your name has been added to our mailing list.
	Name
	Title
	Organization
	Address
	City
	State
	Zip Code
	Telephone
	Fax
	Email Address
	Web Site (please include http:// )
	I am a (check all that apply):
		Person with a disability
		Advocate
		Educator
		Professional
		Family Member
		Other
	I would like information in the following format:
		Braille
		Large Print
		Cassette
		PC Disk
	What would you like?
	Comments