Teen PCAR

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Teenpcar membership and stuff is free for PA residents. If you live outside of PA, there is a one-time $5 membership fee* that covers the cost of the products and shipping and handling. Questions or concerns? E-mail .

For PA residents, submit the form electronically. For out-of-staters, print off the form and mail it in with your check or money order.

* The CDs and magazines were produced in part by a grant from the Pennsylvania Department of Public Welfare that provides for their free distribution in Pennsylvania only.

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Your information has been sent. We will send you your free stuff soon as possible.

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Name:
E-mail:

Address:
City:
State:
ZIP code:
Country:

Your age:
Guardian's e-mail (if under 13)

Please send me:
	"TEENesteem" magazine
	Xpose CD
	Whatcha Gotta Know CD

Also send me information on:
	General sexual violence
	Teenagers and sexual violence
	Risk reduction (things you need to know to reduce your risk of sexual assault)
	Male victimization
	Recommended reading and resources on self-esteem, healthy relationships, statutory rape, and sexual violence

How did you hear about teenpcar?
	Xpose CD or "TEENesteem" magazine
	Rape crisis center
	School or church
	Television commercials
	Other
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To join the teenpcar club by mail, print out and mail in the above form. Mailing instructions are listed below.

PA residents:
Submit the above form. No money is required.

Non-PA residents:
Print form and mail it along with a $5 check or money order to:

Pennsylvania Coalition Against Rape
Attn. teenpcar
125 North Enola Drive
Enola, PA 17025