Institute on Race & Poverty Neighborhood Maps ATLAS ORDER FORM

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Name
Organization
Title
Street Address
City State Zip
Phone Fax Email

You may order atlases by individual neighborhood or order sets of all 7 neighborhoods at $150 a set. Orders must be paid in full by check. Please note the sliding fee scale for the cost of these atlases. Small organizations are those with an annual budget of $250,000 or less. Medium organizations are those with an annual budget between $250,000 and $1,000,000. Large organizations are those with an annual budget over $1,000,000.

Individual Neighborhood Atlases	# of Atlases	Cost Per Atlas Small Orgs/ Med. Orgs/ Large Orgs	Amount Due
Elliot Park		$25/$35 /$45	$
Harrison		$25 /$35 /$45	$
Near North		$25 /$35/ $45	$
Phillips		$25 /$35 /$45	$
Stevens Square		$25/ $35 /$45	$
Sumner-Glenwood		$25/ $35 /$45	$
Whittier		$25 /$35 /$45	$
		Subtotal	$
		Postage & Shipping ($1.50 per atlas)	$

7-Neighborhood Atlas Set	# of sets	Cost per set Small Orgs. /Med. Org. /Large Orgs	Amount Due
Full Set containing one atlas each of the 7 neighborhoods listed above		$150 /$210 /$270	$
		Subtotal
		Postage & Shipping ($4.00 per set)

TOTAL ENCLOSED

$

Please make checks to Institute on Race & Poverty. Allow 3-4 weeks for delivery. To order, send your check with this form to: Institute on Race & Poverty 415 Law Center 229 19th Avenue South Minneapolis, MN 55455