Snap Material Order Form DHS 9238

Organization*

Name*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number*

Area CodePhone Number

E-mail*

Special instructions, requests or address change here:

DHS 0848 SNAP Reporting Your Expenses May Increase Your Food Benefits (1 equals 50, 2 equals 100, 3 equals 150 and so on)

DHS 0849 SNAP Claiming Your Medical Expenses May Increase Your Food Benefits (1 equals 50, 2 equals 100, 3 equals 150 and so on)

DHS 9205 "Look what $16 can buy" (50 per package, 1 equals 50, 2 equals 100, 3 equals 150 and so on)

DHS 9207 “Oregon Helps: Now showing at a computer near you.” Bookmark (4” x 9”) English with Spanish. (100 per package, 100 per package, 1 equals 100, 2 equals 200, 3 equals 300 and so on)

DHS 9207 “Oregon Helps: Now showing at a computer near you.” Bookmark (4” x 9”) English with Russian. (100 per package, 100 per package, 1 equals 100, 2 equals 200, 3 equals 300 and so on)

DHS 9207 “Oregon Helps: Now showing at a computer near you.” Bookmark (4” x 9”) English with Vietnamese. (100 per package, 100 per package, 1 equals 100, 2 equals 200, 3 equals 300 and so on)

DHS 9208 “More reasons to sign up...” Bookmark (4” x 9”) explaining how food benefits make families eligible for other free assistance programs. Includes both English and Spanish. (100 per package, 100 per package, 1 equals 100, 2 equals 200, 3 equals 300 and so on)

DHS 9213 “Eating Right When Money’s tight, A guide for Seniors and People with Disabilities.” Client brochure for APD and the SNAP Program. Includes eligibility guidelines. (100 per package, 100 per package, 1 equals 100, 2 equals 200, 3 equals 300 and so on)

DHS 9216 “Client bill of rights.” Poster, lists rights of food benefit recipients. (1 per)

DHS 9221 “Putting Healthy Food Within Reach” (1 equals 50, 2 equals 100, 3 equals 150 and so on)

DHS 9238 2/22/2016

Supplemental Nutrition Program (SNAP) outreach order form