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Breathe Easy Signs
Breathe Easy Signs
15"x15" Metal Signs Order Form
*
Indicates Required Field
*
Date
(Format: mm/dd/yyyy)
*
Contact Name
*
Name of School, Park, or Community
*
Street Address
Street Address 2
*
City
*
Zip Code
(no dashes e.g. 555554444)
*
Phone Number
(no dashes e.g. 5554443333)
*
Email Address
Order Information
Schools
**Schools are allowed a maximum of 5 signs (while supplies last)**
Schools less than 500 students
--Select One
1
2
3
4
5
Schools 500-1,000 students
--Select One
1
2
3
4
5
Schools with over 1,000 students
--Select One
1
2
3
4
5
Communities and Parks
**Communities and Parks are allowed a maximum of 10 signs (while supplies last)**
Parks:
1 per entrance
--Select One
1
2
3
4
5
Community Building:
Max 10
--Select One
1
2
3
4
5
6
7
8
9
10
Tobacco Policy
**A copy of your tobacco policy is required in order to receive free metal signs** Please copy and paste the policy here or present the policy with this completed form
Purchase Information for Oklahoma Correctional Industries (OCI)
Signs may be purchased from OCI- Sales Office at toll-free 1-800-522-3565, locally at 405-964-7200 or by email www.ocisales.com/contactus.aspx
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