National 24 Hr  Hope Line
1-800-SUICIDE
LosAngeles 24 Hr Hotline
1-877-7CRISIS
Teen Line
(6-10pm)
1-800-TLC-TEEN
Trevor Helpline
for Gay Youth
800-850-8078
New Teen Line
New Hope Teen Line
714 NEW TEEN
New Hope Online Counseling
New Hope 24 Hour Crisis Hotline
714 NEW HOPE

Membership and Materials Order Form

Yellow Ribbon Suicide Prevention Programâ an outreach program of
Light for Life Foundation of Southern California

Item Price Quantity
Yellow Ribbon Cards $7.50/100
"Helping Youth Worldwide" brochure $15/100
Informational / Press Kit $2
Video - Yellow Ribbon Suicide Prevention Programs "For Michael" VHS Format 8 minutes $10 each
Yellow Ribbon Buttons $.50 each
Yellow Ribbon Enameled Pins
Wear the symbol of prevention & survival!
$2.50 each
"It's OK to Ask4Help!" 2 inch stickers $2/100
"It's OK to Ask4Help!" 4 inch decals $1 each
I'm Interested in a presentation for: Students AdultsBoth
Light for Life speakers can provide programs for your group.
Membership Information: Membership includes Yellow Ribbon brochure, 100 Yellow Ribbon Cards, and an enameled lapel pin.

Choose one:
Student - $15 Senior Citizen - $15
Individual - $25 Family - $50
Organization - $100 Patron - $250+
Name*:
Affiliation/School:
Address*:
City*:
State*:
Zip Code*:
Phone:
Fax:
Email address:
* indicates required fields
Light for Life Foundation of Southern California
P.O. Box 2815
Orange, CA 92859
(714) 744-6877
yellowribbonoc@yahoo.com
We are a non-profit, 501c(3), non-sectarian organization existing through grants and your tax-deductible donations