California Child Welfare Resource Library Order Form

CALIFORNIA CHILD WELFARE RESOURCE LIBRARY
ORDER FORM

Qty.	Description	Price Each		Total Cost
	Assessment & Case Management of Domestic Violence in Public Child Welfare	64.00
	First Response: Interviewing Young Children About Abuse & Neglect - VHS	18.00
	Interviewing Children in Child Welfare - CD-ROM	18.00
	Kinship Care: An Empirically-Based Curriculum	50.00
	Resource Notebook for Training on Substance Abuse in Child Welfare	111.00
	ORDER TOTAL IF PAYING BY CREDIT CARD
	IF PAYING BY CHECK, DEDUCT - 3%		-
	ORDER TOTAL IF PAYING BY CHECK

Credit Card Information

Name as It Appears on Credit Card :	Type of Credit Card :
Credit Card Number:	Expiration Date:
Signature:

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Name:
Title:
Organization:
Address:

Telephone:

SEND FORM TO

Cheryl Fujii
School of Social Work
California State University, Long Beach
1250 Bellflower Boulevard
Long Beach, CA 90840-4602
All prices valid through
June 30, 2013.

Last Updated: 20 March 2012