<p> Virginia Department of Emergency Management Community Disaster Education Brochure Request Form</p><p>Today’s Date: Pick up or Delivery: </p><p>Date literature will be picked up: Complete Mailing address: City, State Zip (No P.O. Box)</p><p>The following must be completed for all brochure requests</p><p>Agency/Contact name: Contact Phone: </p><p>How/when will brochures be distributed? </p><p>City or County where brochures will be distributed: </p><p>Audience: Estimated # of Persons Receiving Brochures: (Example = youth, parents, adults, seniors, elem. sch., middle sch., etc.) ------This is a representative list of brochures available. Please be aware that all items will be delivered at no cost to you. Please only request the actual amount needed, this will allow us to reach more people. All orders are subject to availability. If you need more than the maximum amount please contact the distributor directly (contact information provided at the bottom of the order form). Thank you. Qty. Distributor Brochure Name, unit VDEM 2010 Virginia Hurricane Guide VDEM Virginia Hurricane Guide - Spanish – limit of 250 VDEM Ready Virginia – limit of 250 VDEM Listo Virginia - Spanish – limit of 250 VDEM Disaster Preparedness for Seniors -– limit of 250 VDEM Virginia Business Emergency Survival Toolkit – limit of 50 Write in title (i.e. information needed on general preparedness information, Senior citizens etc.) </p><p>Please Mail, Fax or Email to: 10501 Trade Court Richmond, VA 23236 (804) 897-6626 (fax) [email protected]</p><p>Questions: 804-897-6510 (Public Affairs Office) (May 2009)</p><p>Virginia Department of Emergency Management Community Disaster Education Distributors Contact List</p><p>Emergency Management Guide for Business & Industry, pk/5 - May be downloaded at no cost at www.redcross.org</p><p> Richmond Area Red Cross information http://greaterrichmond.redcross.org/</p><p> Other statewide Red Cross information www.redcross.org</p><p> FEMA kids informational brochures http://www.fema.gov/kids/</p><p> General FEMA brochure request http://www.fema.gov/library/</p><p> NOAA: National Oceanic and Atmospheric Administration </p><p> http://www.nws.noaa.gov/om/brochures.shtml</p><p> NEMA: National Emergency Management Association </p><p> http://www.nemaweb.org/Library/INDEX.cfm</p><p> Citizen Corp: http://www.citizencorps.gov/ready/cc_pubs.shtm</p><p> United States Government Information: http://bookstore.gpo.gov/eresponse.html</p>