4-20-7 180228 SFSP Material Order Form

1
How many summer feeding sites do you have?* This field is required
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2
Door HangersDoor hangers are double sided with English and Spanish language text
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3
Door hangers
The maximum number of door hangers you can order:
Please enter the number of door hangers that you want to order:
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4
Yard signs are double-sided with English and Spanish language text.
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5
How many yard signs do you want to order?* This field is required
The maximum number of yard signs you can order:
Enter the number of PROGRAM signs you want to order:
Enter the number of UP/FORWARD arrow signs that you want to order:
Enter the number of LEFT arrow signs that you want to order:
Enter the number of RIGHT arrow signs that you want to order:
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6
Fillable PostersFillable posters are double sided with English and Spanish language text.
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7
Fillable Posters
The maximum number of fillable posters you can order:
Enter the number of fillable posters that you want to order:
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8
BookmarksThe bookmarks come in bundled packs of 100.
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9
How many Bookmarks do you want to order?* This field is requiredPlease request the number in increments of 100s
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10
Contact Name* This field is required
First Name
Last Name
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11
Email* This field is required
example@example.com
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12
Contact Phone Number* This field is required
Area Code
Phone Number
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13
Contracting Entity Information* This field is requiredPlease enter information as entered in TX-UNPS
Contracting Entity (CE) Name (as listed in TX-UNPS)
CE Identification (CE ID)
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14
Shipping Address* This field is required
Street Address
Street Address Line 2
City
State
Zip Code
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The Bahamas
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Malawi
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Maldives
Mali
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Martinique
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Mauritius
Mayotte
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Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
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Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
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Nicaragua
Niger
Nigeria
Niue
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Poland
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Republic of the Congo
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Rwanda
Saint Barthelemy
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Saint Lucia
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Samoa
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Senegal
Serbia
Seychelles
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Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
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Tunisia
Turkey
Turkmenistan
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Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
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Other
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15
Should you have any questions, please contact TDA by email at

Outreach@TexasAgriculture.Gov.

Outreach Order Form should be recorded in the subject line of the email.

For additional information regarding the Summer Nutrition Program, please visit

www.summerfood.org.

Thank you for your support!
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