What You Should Know About Your Electronic Benefit Transfer (EBT) Account

Order Form
7/2001

The National Consumer Law Center (NCLC) is pleased to announce the availability of a new handbook it has prepared just for public assistance recipients in New York. This handbook fully explains the rights and responsibility of recipients under the Electronic Benefit Transfer System (EBT) used to deliver food stamps and cash assistance benefits. Topic in the Handbook includes rights to account information, rights to access benefits, and keeping safe when using a Benefit Card.

The first 20 copies of the New York EBT Handbook are free to non-profit organizations assisting public assistance in New York. For other organizations or individuals and for additional copies, the cost will be $50.00 for 20 copies. Please send the quantity indicated below. Enclosed is an order form and check in the amount of $_________________ payable to the National Consumer Law Center, 77 Summer St., 10th Floor, Boston, MA 02110.

Quantity: _____

Price includes shipping and handling. Pre-payment is required. Quantities may be limited.

To place an order mail or fax this completed order form to the attention of Debbie Parziale at 617/542-8010.

SEND TO:

Name: ____________________________________________________________________

Organization: _______________________________________________________________

Address: ___________________________________________________________________

City: ___________________________ State: __________________ Zip: ________________

Phone: (___)____________________________ Fax : (___ )__________________________

PLEASE CHARGE CREDIT CARD:

VISA/MasterCard: _______________-_______________-_______________-_____________

Expiration Date: _________/_________ Signature: __________________________________