HARD COPY Materials Order Request
**All handouts are 2021 unless otherwise noted**

Please fill out the required information, select the quantities of materials that you would like sent to you and electronically agree to the below terms. All materials will be sent via hard copy in the mail to the address you specify on this form.

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.

Thank you!
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Email *
Your name (First and Last) *
Agency Name *
Phone number *
Street Address *
City *
State *
Zipcode *
E-mail *
English Materials
10
25
50
Every Child Deserves a Safe Ride Brochure
New! 10/1/22 Maryland CPS Flier (single sided)
SRN: Check Your Child’s Car Seat!
SRN: Selecting the Right Car Seat
SRN: Are You Pregnant? Buckling Up For Two
(No longer available)
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: 2020 Grandparents Guide to Car Seats
SRN: 2020 Car Seats and Pick-up Trucks (max qty. 10 printed)
SRN: 2020 What to do About Recalls (max qty. 10 printed)
SRN: 2019 Parked Cars- Dangerous for Kids (max qty. 10 printed)
SRN: 2019 Safer Airplane Travel (max qty. 10 printed)
Clear selection
Spanish Materials
10
25
50
SRN: Check Your Child’s Car Seat!
SRN: Selecting the Right Car Seat
SRN: Are You Pregnant? Buckling Up For Two
(No longer available)
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: 2020 Grandparents Guide to Car Seats
SRN: 2020 Car Seats and Pick-up Trucks (max qty. 10 printed)
SRN: 2020 What to do About Recalls (max qty. 10 printed)
SRN: 2019 Parked Cars- Dangerous for Kids (max qty. 10 printed)
SRN: SRN: 2019 Safer Airplane Travel (max qty. 10 printed)
Clear selection
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