Florida Department of Education

K-12 Public Schools

Bureau of Instructional Support and Community Services

Publications Order Form

TO:

Mrs. Arlene Duncan

(850) 245-0477

Clearinghouse Information Center

Suncom: 205-0477

Bureau of Instructional Support and

E-mail: arlene.duncan@fldoe.org

Community Services

Fax: (850) 245-0987

Florida Dept. of Education

Turlington Building, Suite 628

Tallahassee, Florida 32399-0400

Please send the following publications:

Publication Title

Quantity Requested

Alternate Assessment in Science for Students with

Disabilties

#312215

Ship to (specify street address for delivery, cannot send to P. O. boxes):

?

Attention: _______________________________________________________________________

?

Street Address: ___________________________________________________________________

?

City, State, Zip Code: ______________________________________________________________

?

Signed: __________________________________________

District ESE Administrator

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NOTE: Please order only the copies you need for the current school year so

there will be a sufficient supply for all districts.

Materials will be shipped third class mail and should be received within 10 days

of the Clearinghouse’s receipt of order.