2008 Child Care Wages Survey Report
 ORDER FORM
Please print out this order form and complete
PACCA members may view the Report for free by visiting the Members Only section. Members and nonmembers who would like to receive a hard copy of the Report may order one using this form.
Qty Item Price Total

Members who participated in the survey:
Hard copy version of survey report
Membership will be verified before Report is mailed

 $ 10  
  Members who did not participate in the survey:
Hard copy version of survey report
Membership will be verified before Report is mailed		 $ 25  
  Non-Members who participated in the survey:
Hard copy version of survey report		 $ 50  
  Non-Members who did not participate in the survey:
Hard copy version of survey report		 $125  
  Shipping & handling (per copy) $   5  
 

add 6% PA sales tax*

  

TOTAL

  

* if your organization is exempt from PA sales tax, please include a copy of your tax
exempt certificate with your order.

Send Survey Report to:

Name: Make check payable to PACCA and mail to:

PACCA
Attn: Survey Report order
2300 Vartan Way, Suite 103
Harrisburg, PA 17110
Title:
Organization:
Address:
Address, cont'd:
City:
State:                                   Zip:
Phone:
Fax:
E-mail: