Section 1. Who is the BrailleWriter from? Name Address City State Zip Code Phone Fax Email Campus Department Faculty Staff Student Section 2. To whom is the BrailleWriter to be sent? Name Address City State Zip Code Phone Fax Email Campus Department Faculty Staff Section 3. BrailleWriter information. Date Purchased Date Sent Serial Number Comments or Special Instructions:

Thank you for recognizing the importance of print accessibility and supporting the KBTI project. Working together, we can make a difference.