Date: 

Name:

Organization:

Address:
(Enter Address)

City
State
Zip
Phone
Fax
E-mail

2.  State quantity for each one desired:

5"x8" Surgeon General Advisory Card
Specify quantity (limited to a maximum of 75 per order)

FAS Guidelines for Referral and Diagnosis
Specify quantity (limited to a maximum of 25 per order)

Condensed version of FAS Guidelines in Morbidity and Mortality Weekly Report (MMWR), October 2005
Specify Quantity (Limited to a maximum of 25 per order)

Poster: Karen doesn't know she's pregnant.
Specify quantity (limited to a maximum of 30 per order)

Poster: Wanda never thought she'd get pregnant.
Specify quantity  (limited to a maximum of 30 per order)

Brochure: Think before you Drink. (Woman holding glass)
Specify quantity  (limited to a maximum of 75 per order)

Brochure: I never thought I'd get pregnant. (Mom and baby)
Specify quantity (limited to a maximum of 75 per order)

Brochure: I never thought I'd get pregnant. (Woman holding glass)
Specify quantity  (limited to a maximum of 75 per order)

3. Submit order information above or print page and mail or fax to address below:

Centers for Disease Control and Prevention
Fetal Alcohol Syndrome Prevention
Mail-Stop E-86
1600 Clifton Road
Atlanta, GA 30333
Voice: 1-800-CDC-INFO (232-4636)
Fax: (404) 498-3040
E-mail: cdcinfo@cdc.gov