Please print out this form and mail it to us, or submit your information via email. When mailing, if possible please include the text to be produced in electronic file format on a 3.5 inch floppy disk, along with a check or money order for $50.00. [For questions about compatible file formats and submitting electronic files, please contact at 316-265-9692, or info@kbti.org]

Name of Establishment:

___________________________________

Contact Name:

___________________________________

Phone number:

___________________________________

Email:

___________________________________

Please send information to:

Kansas Braille Transcription Institute
1200 E. Waterman
Wichita, Kansas 67208
orders@kbti.org

For more information please contact the above.