Order Form
To send a subscription as a gift, just print out this order form, fill it out, and send it to the following address:
DSAU, Inc.
32 Rutledge Street
Brooklyn, New York 11211

From:
Full Name:

Address:



E-mail Address:

Send To:
Full Name:

Address:



Payment:
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Check Down Syndrome Amongst Us Money Order


Write "yes" in the below box if you would also like a subscription sent to you and enclose an additional $15.00:
DSAU, Inc.

NOTE: Each subscription cost is $15.00. Checks and money orders should be made payable to DSAU, Inc. There will be a $25 surcharge for returned checks.

Signature:


Click Here for the DSAU main page.


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