| 
 To order the materials, print out 
                          this order form and send it with your check or money 
                          order to AWC. 
                           
                            | Price | Quantity | Cost |  |   
                            | $79.95 |  |  | Complete 
                              package includes video and 3 manuals described 
                              below |   
                            | $25.00 |  |  | Developing and Creating 
                              Jobs for Persons with Physical and Multiple Disabilities. 
                              Manual plus Supplemental 
                              Forms |   
                            | $10.00 |  |  | Case Study Manual. 
                              In-depth analysis of actual 
                              cases. Illustrates our community placements involving 
                              individuals with multiple disabilities. |   
                            | $15.00 |  |  | Support Co-Worker Manual. 
                              Guidelines and instructions 
                              for staff providing on-the-job assistance using 
                              a "team" approach. |   
                            | $25.00 |  |  | Sharing the Vision 
                              Video. 17 minute color 
                              video vividly demonstrates how our employment strategies 
                              are succeeding in the real world! |   
                            | Order Total: |  | Make checks and money orders payable to 
                                AWC
 Mail to 
                                AWC, P.O. Box 11452, 
                                Eugene OR 97440 |   
                            | Add 10% s&h here: |  |   
                            | Your Total Cost: |  |  _____ Please send information 
                          about AWC's technical assistance training and support 
                          services  _______________________________________________________________Name
  _______________________________________________________________Company
  _______________________________________________________________Street Address
  _______________________________________________________________City/State/Zip
  _______________________________________________________________Phone
  _______________________________________________________________Email
 Alternative Work Concepts is a non-profit, 
                          501 (c) (3) organization that assists individuals with 
                          multiple disabilities to obtain and maintain employment 
                          in their communities.    Alternative Work ConceptsP.O. Box 11452  ·  Eugene OR 97440  ·  541.345.3043  ·  fax: 541.345.9669
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