Children’s Story Book Order Form



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Date19.06.2017
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Children’s Story Book Order Form

I am submitting this order form for the Pennsylvania Dependency Children’s Story Book “What’s Happening in Dependency Court?” to be mailed to me at the address listed below.

I am including a check payable to the Administrative Office of Pennsylvania Courts.

Name: ___________________________________________________
County: ____________________________________________________
Address:____________________________________________________
____________________________________________________

Telephone Number: ___________________________________________
Email Address:________________________________________________






# of books

Cost per book

Total

*PPI County

Allegheny, Blair, Butler, Carbon, Chester, Dauphin, Jefferson, Lackawanna, Lehigh, Montgomery

Northampton, Snyder, Venango, Washington, York, Montgomery, Cumberland, Adams, Fulton, Bucks, Franklin, Luzerne, Indiana, Warren, Armstrong, Clinton, Philadelphia, Lycoming, Beaver, Fayette, Union, Monroe, Montour, Columbia, Westmoreland




First 10 are free

11-500 $1/per book

500 and more $.50/per book





Non-PPI County




First 10 are free

11-500 $2/per book

500 and more $1/per book




*Note: Permanency Practice Initiative (PPI) counties can purchase the Pennsylvania Dependency Children’s Story Book “What’s Happening in Dependency Court?” at a reduced price per book through a Casey Family Programs grant provided to the OCFC for the support and expansion of the Permanency Practice Initiative.


Please mail this form along with the check to:
Office of Children & Families in the Courts

Administrative Office of Pennsylvania Courts

Attention: Elke Moyer

601 Commonwealth Avenue



P.O. Box 61260

Harrisburg, PA 17106-1260


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