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ELECTRONIC(PDF) Materials Order Request
Please fill out the required information and select the quantities of materials that you would like sent to you. All materials will be sent via email to the address you specify on this form. Thank you!
Email *
Electronic Materials Agreement
Maryland Kids In Safety Seats (MD KISS) has purchased a commercial distribution/printing license from Safe Ride News Publications, for its Safe Ride News Fact Sheets. As the commercial licensee, MD KISS is required to report the quantities of SRN Fact Sheets distributed to, and printed by, community based organizations/agencies to our grant funder. Therefore, MD KISS requires that any organization/agency using Safe Ride News Fact Sheets in the PDF format complete this Distribution Agreement prior to receiving the requested Fact Sheets.
I agree to abide by the following requirements set forth by Maryland Kids In Safety Seats:
1. Safe Ride News Fact Sheets must be duplicated as is, with no alterations or modifications permitted.
2. Safe Ride News Fact Sheets must be distributed free of charge.
3. Safe Ride News Fact Sheets may NOT be uploaded to a website or made available as a digital copy.
4. Safe Ride News Fact Sheets should be updated once per year by contacting KISS for the most recent versions.
5. Community based organizations/agencies must report the estimated quantities of SRN Fact Sheets to be printed (for the calendar year in which they are requested) to MD KISS via fax or e-mail, using this form.
PLEASE SIGN/TYPE FIRST AND LAST NAME AND DATE BELOW:
Please sign or type first and last name and date: *
Your name (First and Last) *
Agency Name
Phone number *
E-mail *
English Materials (Please estimate quantities you will print in 2021
50
100
150
200
250
300
350
400
500+
Maryland's CPS Law/5 Step Test (2-sided Flier)
SRN: Check Your Child’s Car Seat!
SRN: Selecting the Right Car Seat
SRN: Are You Pregnant? Buckling Up For Two
How Long Rear-Facing (max qty. 10 printed)
SRN: This Is the Way Baby Rides
SRN: Car Safety For Growing Babies/Toddlers
SRN: Meeting the Car Seat Challenge (Toddlers/Preschoolers)
SRN: Boosters for Big Kids
SRN: Buckling Up, Keeping Youth Safe
SRN: Grandparents Guide to Car Seats
SRN: Car Seats and Pick-up Trucks (max qty. 10 printed)
SRN: What to do About Recalls (max qty. 10 printed)
SRN: Parked Cars- Dangerous for Kids (max qty. 10 printed)
SRN: Safer Airplane Travel (max qty. 10 printed)
Clear selection
Spanish Materials (Please estimate quantities you will print in 2021
50
100
150
200
250
300
350
400
500+
Maryland's CPS Law/5 Step Test (2-sided Flier)
SRN: Check Your Child’s Car Seat!
SRN: Selecting the Right Car Seat
SRN: Are You Pregnant? Buckling Up For Two
How Long Rear-Facing (max qty. 10 printed)
SRN: This Is the Way Baby Rides
SRN: Car Safety For Growing Babies/Toddlers
SRN: Meeting the Car Seat Challenge (Toddlers/Preschoolers)
SRN: Boosters for Big Kids
SRN: Buckling Up, Keeping Youth Safe
SRN: Grandparents Guide to Car Seats
SRN: Car Seats and Pick-up Trucks (max qty. 10 printed)
SRN: What to do About Recalls (max qty. 10 printed)
SRN: Parked Cars- Dangerous for Kids (max qty. 10 printed)
SRN: Safer Airplane Travel (max qty. 10 printed)
Clear selection
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