Putting Down Roots In Earthquake Country: Order Form

Putting Down Roots in Earthquake Country
Fall 2008 Edition

For more than 10 copies, please complete the bulk order form.
Copies ordered here will be mailed within 1-2 weeks. You may be able to obtain a copy sooner by checking your nearest home improvement store or American Red Cross chapter instead.

Request a free hard copy of this handbook:

First Name	Last Name
Mailing Address
City	State	ZIP Code
E-mail Address (Optional: we may send a follow-up email with additional questions)
Number of copies (1-10): To request more than 10 copies, please complete the bulk order form.

Please answer the following questions:
Where did you hear about this handbook?
Have you identified hazards in your home (heavy items that can fall on you during shaking, unsecured water heaters, etc.) and begun to fix them?
Have you created a disaster plan?
Have you created a disaster supply kit?
Have you identified your home's potential weaknesses (house not bolted to foundation, unbraced cripple walls, etc.) and begun to fix them?
Do you know how to protect yourself during an earthquake?