Honor Your Baby by Sponsoring a
SIDS & INFANT DEATH SURVIVAL GUIDE
for a newly bereaved family
(or for a SIDS support group, library, hospital,
emergency responder, day-care facility, etc.)

Your donation through SIDS-ES, a nonprofit
charitable 501(c)(3) organization, is tax-deductible.
Your purchases help this limited edition book stay in print.

Labels with your tribute will be placed on the inside cover of each book you sponsor. If photo label is desired, include a color or b&w photo (not a negative) that is NOT your only copy. We will try to return the photo to you after we scan it onto the label. Actual size of label: 3x5 or 4x2 inches.

Questions? Call 301-322-2620, fax 301-322-9822, or e-mail sidses@aol.com.

THE SIDS & INFANT DEATH SURVIVAL GUIDE Sponsorship Form

You may also order from our on-line store!

Your Name

Organization

Address

City/State/Zip

Phone/Fax

Email

Your tax-deductible sponsorship:

Indicate Language English Spanish

Individual Copies @ $16.95 each plus $5 priority shipping for one copy: $ $
Individual Copies @ $16.95 each plus $3.50 media shipping for one copy: $ $

Set(s) of 8 copies @ $100/set: $ $

Set(s) of 24 copies @ $300/set: $ $

Set(s) of 48 copies @ $500/set: $ $

100 Copies, a $1,000 donation: $ $

Postage/Handling (Free for 8 or more books;

For fewer than 8, add $1 per book. $ $

TOTAL $ $

Please indicate # books for each:

Local Library SIDS Support Group

Self (not tax-deductible) Other

Organization #1

Organization #2

In Memory of:

Birth date/
death date

Your relationship
to baby

Please write what you want your labels to say. (You may want to use the wording on the sample label above, substituting your own baby's name & date and sponsors' names. Include separate page if necessary.)

You may order from our on-line store or

send order form with check or money order to
SIDS-ES, P.O. Box 2426, Hyattsville, MD 20784-0426
Phone: 301-322-2620; fax: 301-322-9822; Employer ID #52-1865635
Visa & MasterCard accepted: Call, e-mail, or mail card #, signature, exp. date