Educational Materials Order Form
Please order in increments of 50. Requests from within the OKC metro area should be picked up at the Oklahoma Highway Safety Office; requests from other parts of the state may be picked up or shipped free of charge. Please mark your preference in the form below. You MUST designate a delivery method and date needed.
Street Address Line 2
State / Province
Postal / Zip Code
Requested date of delivery/pickup
How would you like to receive these items?
Pick up in person
Mail to my address
How will these items be distributed?
Please explain if you chose "Other" above.
"Ride Right" Child Restraint (English)
"Ride Right" Child Restraint (Spanish)
Child Restraint (English)
Buckle Up Bookmark
Child Restraint Coloring Booklet
Contains four pages to color
Distracted Driving (English)
Drug-Impaired Driving (English)
Zero Tolerance (English)
Zero Tolerance (Spanish)
Myths and Facts (English)
Myths and Facts (Spanish)
Motorcycle Safety (English)
**If requesting more than 500 pieces per item, please provide planned distribution information**
By signing below, the recipient agrees that they have had an "active voice" in the initiation, development and implementation of the program/project/literature, or that they request and accept the goods and services provided as a part of their local government's highway safety program.
Should be Empty:
Now create your own Jotform - It's free!
Create your own Jotform