Instructions
After filling out the form and clicking on the "Submit" button, you will be redirected to a confirmation page.
You will receive a follow-up confirmation of your order by email or phone.
Receipt of payment through the mail is required before purchases will be filled.
If your are not redirected to the confirmation page, or you do not receive a follow-up confirmation, contact Michele Howard by
michele.howard@ky.gov
502.564.8300 ext. 319
Fax: 502.564.5773