IYD: Order Form

IYD Order Form: Complete & Mail

After filling out your order, print this form and mail with your check or money order to: The Institute for Youth Development, P.O. Box 16560, Washington, DC 20041 To cover the production costs, a suggested donation is requested. Shipping and handling is based on the total amount of your order. Please enter a phone number and email address where we can reach you in case there are questions with your order.
Name:
Organization:
Address:
City, State, ZIP:
Phone:
Fax:
Email:

	I’d like to receive a free subscription to the Institute for Youth Development’s newsletter, The Youth Connection. Please add my name and address to the IYD mailing list.

	Title	Quantity	Suggested Donation	Total
Periodicals
Adolescent & Family Health
	1 year subscription = $55.00 2 year subscription = $100.00
America’s Youth: Measuring the Risk, 4th Edition
	Single copy=$20.00 2-20 copies=$17.00 each 21-50 copies=$14.00 each More than 50=$12.00 each
The Youth Connection
	Single copy=Free 2-25 copies=$0.75 each 26-50 copies=$0.50 each More than 50=$0.35 each
Research
Protecting Adolescents From Risk
	Single copy=$15.00 2-20 copies=$13.50 each 21-50 copies=$12.00 each More than 50=$10.50 each
A Portrait of Adolescence
	Single copy=$10.00 2-20 copies=$9.00 each 21-50 copies=$8.00 each More than 50=$7.00 each
Reducing the Risk: Connections that Make a Difference in the Lives of Youth
	Single copies=$10.00 2-20 copies=$9.00 21-50 copies=$8.00 More than 50=$7.00
IYD Youth Facts (Research papers about youth risk behavior)
	Single copy=$4.00 2-15 copies=$3.00 16-30 copies=$2.00 More than 30=$1.50
	Age of Risk Behavior Debut: Trends and Implications
	Interconnections — Emerging Patters in Youth Risk Behavior
	Alcohol & Youth
	Drugs & Youth
	Sex & Youth
	Tobacco & Youth
	Violence & Youth
Youth Substance Abuse & Violence Interconnections - Protective Factors - Prevention
	1-20 copies=$3.00 21-50 copies=$2.00 More than 50=$1.50
Reference & Resources
The Federal Grants Manual for Youth Programs: A Guide to Youth Risk Behavior Prevention Funding, Volume I, Second Edition, 424 pages
	1 copy= $99.00 2-25 copies=$89.00 26-50 copies=$79.00 More than 50=$69.00
The Federal Grants Manual for Youth Programs: A Guide to Youth Risk Behavior Prevention Funding, Volume II, Second Edition
	1 copy= $139.00 2-25 copies=$129.00 26-50 copies=$119.00 More than 50=$109.00
How to Become a Non-Profit 501(c)(3) Tax-Exempt Organization
	Single copy $30.00
10 Tips for Parents: Protecting Your Kids from Substance Abuse and Violence
	1-20 copies=$3.00 21-50 copies=$2.00 More than 50=$1.50
				Total this column and enter below:
		Subtotal:
	U.S. Shipping & Handling Rates: IYD offers a flat shipping rate. To determine your shipping costs, multiply your subtotal by 5%. Orders of more than $350 will be shipped by weight. Call IYD for shipping charges.	Shipping/ Handling: Multiply your subtotal by .05 =

	I would like to make an additional tax-deductible contribution to help youth avoid unhealthy risk behavior:
		Order Total:
Now that you have filled out your order, please print this page and mail with your check or money order to: The Institute for Youth Development, P.O. Box 16560, Washington, DC 20041