T!LT Resource  Membership Form

2005-2006

Are you an educator or youth serving professional looking for new resources?

With a Planned Parenthood T!LT Resource Membership, you pay a single yearly fee and obtain unlimited use of current videos (such as Power of Girls), innovative teaching tools (like the new Baby-Think-It-Over or the Empathy Belly), and easy-to-use teaching resources (such as a fully stocked Birth Control/Safer Sex Kit).

Your $99.99 membership allows you to provide your audiences with:

• Medically accurate, age appropriate, and culturally competent videos and teaching materials addressing a variety of sexuality-related topics.
• Unlimited use of these resources for one school year
• Every professional at your school or agency will have access to these resources at no additional charge!

Order It Online Now!
Using a purchase order?  We've got three easy ways to go:

Call our Education and Training Department at 203-865-5158
Fax the completed form to 203-752-2914
Mail the completed form with your payment to the address below

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Fax or Mail To: 

Planned Parenthood of Connecticut Education Resource Association
345 Whitney Avenue
New Haven, CT 06511

Yes! Enroll me in the T!LT Resource Membership for the 2005-2005 school year. 
Please print clearly:

School/Organization: _________________________________________________

Address: ____________________________________________________________

               ____________________________________________________________

Phone: (______) ___________________

Contact Person _________________________ Title ____________________________

E-mail address  _________________________

Fee:  $99.99
Payment Enclosed: ________ Bill Us:  Yes  No