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Order Form                                             creditcards
Adoption Healing... a path to recovery for mothers who lost children to adoption
by Joe Soll, CSW, Adoptee  Psychotherapist & Karen Wilson Buterbaugh, Mother

The price is $25.50 including S&H   ** Insurance is NOTincluded.
(Additional S&H for orders outside the U.S. - must be paid in US Dollars)
Canadian orders, add $2.50 additional postage - total = $28.00
Shipping outside of North America - Global Priorty large: add $8.50 additional postage - total = $34.00


Quantity Discounts Available 


Your Name Mr. Mrs. Ms    First:  Last:
Street:  Street 2 :
City:   State/Prov.:  Zip: Country:
Home Tel.: Bus. Tel.:  E-mail: 
Confirm E-mail:      I am Adoptee    Mother    Other 
How did you hear about Adoption Healing? 

If you purchase Adoption Healing for Adoptese at the same time,
there is a 20% discount on both books and no additional shipping cost in the US.
Cost for both books is $30.32 + $5.55     Total $35.87
Regular price for both purchased separately is $49.00

Payment Information      (Minimum Credit Card Order is $17)

 Quantity of Adoption Healng for Moms that I  am buying        
 Quantiy of Adoption Healing for Adoptees that I am buying 
Total Amount of payment:          Name on Card: 

Payment By:   Card No.    Card Exp

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If you are Not paying by credit card, enter 00 in the Security Code Box above.
Comments  (max 2,000 chars, aprox 200 words)

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If you do not receive an acknowledgement of your order within 48 hours,
 please email me to verify that I received it.

You may also make your payment by faxing the information below to: 845-267-2736,
or you may call 845-268-0283 and leave your credit card info on our answering machine,
or you may send the payment via US Mail.

If paying by check, make the check out to Joe Soll, and mail to:

Joe Soll, AHFM
74 Lakewood Drive
Congers, NY 10920-1710

If paying by Credit Card, please include the following info:
Card Number, Name on Card, and the Expiration Date (Month and Year)
and the Credit Card Security Number

To get more information or to order by phone:
call 845-268-0283 or send E-mail to us at
joesoll@adoptionhealing.com

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Last Updated on March 7, 2004 by Joe Soll