CEE:SAW ORDER FORM (also in Word)
(Childcare Electronic Environment System Automation Work Tool)
Name: |
Title: |
Address: |
City, State, Zip: |
Phone: |
Fax: |
Email: |
Affiliation: |
Responsibility: |
---|---|
[ ] State | [ ] Lead Administrator |
[ ] Territory | [ ] Program |
[ ] Tribe | [ ] System/Technical |
[ ] Regional Office | [ ] Financial |
[ ] ACF Central Office [ ] Vendor ________________________________ [ ] Other _________________________________
|
We Plan to Use CEE:SAW for: |
[ ] System Modification | [ ] By Contractor | [ ] In-house Staff |
[ ] System Development | [ ] By Contractor | [ ] In-house Staff |
[ ] Development of a Request for Proposal for system/development/system modification |
[ ] Other: |
Please include payment of $100.00 for the reproduction and mailing of the document. Checks should be made payable to General Dynamics Information Technology.
Send order form and payment to:
General Dynamics Information Technology
c/o Child Care Automation Resource Center
2600 Tower Oaks Blvd., Suite 600
Rockville, MD 20852
Phone 1-877-249-9117
FAX: 301-692-0700
Email: ccarc@childcaredata.org