1/28/20 TDA Summer Meals Program - DSHS Friday Beat Order Form

Texas Department of Agriculture (TDA) | DSHS - Friday Beat Summer Material Order Form
- Contact Name:*
  
  First NameLast Name
- 2020 TDA Summer Meals Program
  Outreach Material Order Form
  
  Directions: Please fill out the information below to request materials below if you are interested in promoting the TDA Summer Meals Program within your community.
  
  All materials are double-sided with English and Spanish language text.
  
  Material requests will be processed and fulfilled in the order received. At this time orders are being processed and shipped within 14 days.
  
  Should you have any questions, please contact TDA by email at Outreach@TexasAgriculture.gov. DSHS - Friday Beat Outreach Order Form should be recorded in the subject line of the email.
  
  For additional information regarding the Summer Meals Program, please visit www.summerfood.org.
  
  Thank you for your support.
- Business Name:*
- Address (No PO Boxes Please)*
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Phone Number*
  
  Area CodePhone Number
- E-mail*
  You will receive a confirmation email with a copy of this form
- How many clinics do you have?
- Parent Information Cards
- Select the number of Parent Information Cards that you wish to order in increments of 50. Parent Information Cards are 4"x9".
- Parent Information Cards
- Parent Information Cards:
  (200 maximum)
- Program Posters
- Select the number of Program Posters that you wish to order. No increment minimum. Program Posters are 11"x17".
- Posters
- 1. Print the completed form for your records.
  2. Select "Submit" to send the form to TDA.
  *Note: It may take a few minutes for the form to submit depending on your connection speed. Please click "Submit" only once. You will receive a confirmation message when the submission is complete.
- This product was funded by USDA. This institution is an equal opportunity provider.
- Should be Empty: