Carter, Reddy & Associates, Inc.
24123 Greenfield Rd., Suite 307, Southfield, MI 48075
(248) 233-6370 (ph) / (248) 233-6173 (fax)

SES Marketing Materials Order Form rev. 7.10

Site/Region:_____________________________________
District:_________________________________________
Date:___________________________________________
*DUE DATE:___________________________________

Ship To: (Complete 1order form per site)
Name: _______________________________________________
Address:______________________________________________
______________________________________________
_____________________________________________________
Phone Fax
_____________________________________________________
Email

Item	Flyers / One-sided / English	Flyers / Two-sided / English & Spanish	C&R / SDLP / Brochures	C&R / Retractable Banner		Sample C&R Books		Sample / Non-C&R / Books		Parent Sign-Up Form		C&R / Pencils
Quantity
Marketing Packet	Quantity		Notes/Comments
Staff / Recruiting / Packet	Quantity		Notes/Comments
Other Items	Item Description / 1. __________________________________ / 2. __________________________________ / 3. ___________________________ / 4. ___________________________			Quantity / 1. ______________ / 2. ______________ / 3. ______________ / 4. ______________				Notes / ____________________________________ / ____________________________________ / ____________________________________ / _______________________________________

Ordering Instructions:
Complete order information.
Sign as requestor.
Obtain approval signature of local Supervisor.
Section to the right to be completed by Office Rep only.
Fax Supply Request form to (248) 233-6173 or email to orders@crandassociates.org.
Support Office will return request within 48 hours with complete order information.
Please allow 5-10 days for order receipt.

Order Info:
Requested By: ___________________________________
Signature: ___________________________________

______________________________________
Tracking Number/ P.O. Number ______________________________________
Order Shipment Date
______________________________________
Expected Date of Delivery
______________________________________
C&R Office Representative Signature