MINNESOTA FATHERS’ ADOPTION REGISTRY ORDER FORM
Posters ’ Brochures
To order Minnesota Fathers’ Adoption Registry (MFAR) posters or brochures, complete this form and fax or mail it to our
office, using the contact information on the bottom of this form.
POSTER
BROCHURE
____13” x 17” Unmarried Fathers
ICN # 140-2586 - Father & Daughter
_____ Three-fold Brochure
ICN # 141-1524 Unmarried
Fathers
POSTER
______13” x 17” Unmarried Fathers
ICN # 141-1525 - Father & Son
Contact Person Name:
_______________________________________________________________________________
Agency:
_______________________________________________________________________________________________
Address:
_______________________________________________________________________________________________
City ____________________________________________________________________ State MN Zip _________________
Phone:
____________________________________
Email:
____________________________________________
To place your order:
Fax to 651-201-5750 or scan and email to: [email protected]
Or mail to:
Fathers’ Adoption Registry, Minnesota Department of Health
P.O. Box 64499, St. Paul, MN 55164-0499