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Family Preparedness Guide Order Form
Formulario de Pedido Para Guía de Preparación Familiar
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Family Preparedness Guide Order Form
Name
Nombre
*
Your answer
Organization
Organización
Your answer
Email
Correo Electrónico
*
Your answer
Phone Number
Numero de Teléfono
*
Your answer
How many Spanish language guides do you want?
¿Cuántos guías en español quiere?
*
Your answer
How many English language booklets do you want?
¿Cuántos guías en inglés quiere?
*
Your answer
How many Arabic language booklets do you want?
كم عدد كتيبات اللغة العربية التي تريدها؟
*
Your answer
When do you need the guides?
¿Para cuando necesita las guías?
*
MM
/
DD
/
YYYY
Are you able to pick them up from one of our office locations?
¿Ud. podría recoger las guías de uno de nuestras oficinas?
*
350 E Michigan Ave, Suite 315, Kalamazoo, MI 49007
15 S. Washington Street, Suite 201, Ypsilanti, MI 48197
1500 E. Beltline SE, Suite 300, Grand Rapids, MI 49506
7700 Second Avenue, Suite 603, Detroit, MI 48202
15851 Old US 27, Suite 73 Lansing, Michigan 48906
No, I need my order shipped to me.
Shipping Address
Dirección de Envío
*
Your answer
Additional Comments
Comentarios Adicionales
Your answer
For inquiries about orders, please contact
Moisés Sánchez
at
msanchez@michiganimmigrant.org
or at
(517) 855-2136 extension 884.
Para preguntas sobre pedidos, por favor póngase en contacto con
Moisés Sánchez
por
msanchez@michiganimmigrant.org
o llame al
(517) 855-2136
, extención 884.
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