This page can be printed out, completed, then either faxed or mailed to the address shown below. Or, you can include the information requested in an e-mail to us.
If after using the CD you would feel more comfortable using a 3-ring binder version, contact the IWPCA and make that request.
School: | |
Address: | |
City, State, ZIP | |
Phone: | |
Fax: | |
E-Mail: | |
Contact Teacher: |