Order Form Getting On After Getting Out: A ReEntry

Guide for Colorado

Name_________________________________________________________________________
Address_______________________________________________________________________
City_______________________________________ State________________ Zip ___________
Telephone_____________________________ Email___________________________________ Please
add me to the CCJRC mailing list to receive our quarterly newsletter and other information about
CCJRC activities and volunteer opportunities.

ORDER Getting On After Getting Out $10.00 per copy

Quantity: ________ x $10.00 per copy $______________
(includes all applicable state
and local taxes) Shipping and handing x $2.50 per copy $______________ (
media rate USPS

)
TOTAL PAYMENT DUE $______________
If you are ordering on behalf of a nonprofit organizations or government agency that has been exempted
from city and state sales tax, please check the box below and submit a copy of the Colorado state and city/
county tax exemption certificate.
Tax exempt

PAYMENT Please indicate your payment method:

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SIGNATURE_________________________________
DELIVERY INSTRUCTIONS(PLEASE BE ADVISED: If you are ordering this guide and want it mailed to
someone in the Colorado Department of Corrections, CCJRC needs to mail the guide to him/her directly. AR 30038 says that only the publisher, bookstore or other approved source of supply can mail books to people in prison.)

Please send my order to:

Name_________________________________________________________________________
Address_______________________________________________________________________
City_____________________________State ________________ ZIP code_________________
1212 Mariposa St., Suite 6, Denver, Colorado 80204 (303) 825-0122 phone (303) 825-0304fax
website:www.ccjrc.org email: info@ccjrc.org

Colorado
Criminal Justice Fieform Coalition
Prevention, treatment, and alternatives Work Prison should be the last resort