As of April 17, 2019 there is a glitch with the Wish List.  Although MCB prefers use of the Wish List for ordering items, please do not use the Wish List at this time.  Instead, please place APH orders using the traditional APH Order form found on page 2.  

As soon as the glitch is fixed, the Wish List Instructions will be re posted.  Thank you!

Individual:  					       	Date:   
DDS Region:						Phone:  
Requested By:        					Email:
Please indicate Home or Day Services:						 

Please use this form to place APH orders and use additional pages if needed.
Available APH products can be found Online at: https://www.aph.org/shop/ OR in the 2019-2020 APH Instructional Products Catalog (paper catalog with a White cover).  If you’d like a paper catalog, please call APH at 1-800-223-1839.  Please do not use outdated APH catalogs as Products, Prices, and Item #'s may have changed! 
      Any item that notes “Not available with QUOTA funds” cannot be ordered.	

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Item Description	
Item Number	
Quantity	
Item Price	
Total Price	

						

						
						
				         Total:	

Shipping Information:					   Phone:  
Attention to:
Program Name:
Mailing Address and Zip Code:

Please mail, fax or email completed form to Sandra:
Sandra Faulkner 					Sandra.M.Faulkner@MassMail.State.MA.US
Vision and Vision Loss Services		Office: 508.384.5679 
WDC / P.O. Box 144				Fax:	  508.384.6771
Wrentham, MA 02093