| * Salutation
Mr.
Mrs.
Ms.
*
First: *
Last: |
| *
Street 1:
Street 2 : |
| * City: *
State/Prov
Zip: *
Country: |
| * Home Tel:
Bus Tel.:
I am: Adoptee Natural
Parent Other
|
| * E-mail: *
Confirm E-mail: |
*
Quantity of Adoption Healing for Adoptees
Quantity of Adoption Healing for
Moms
** Supplement and
Articles, etc. may be ordered from Amazon Click
Here
Free
Kindle app ->
http://www.amazon.com/gp/kindle/kcpApp.html
|
$23.50 for the Adoptee
version
Sale 7.50
$25.50 for the Mom
version
Sale 8.50
All prices include
S&H in the United States.** Insurance NOT
included.
All orders must be paid in US Dollars Shipping outside
of North America varies. Please email me for rates.
Quantity Discounts Available for all book purchases. |
Payment Information
|
| *Amnt of Payment
*
Pay by
Name on Card |
| Card
Number Card Expires *
Security Code What is the security code? |
Comments If Not paying by
credit card, enter 00 in the Security Code Box
above.
You
may order by faxing this
form to:
845-267-2736, or you
may send the payment via
US Mail
Adoption Healing, 74 Lakewood Drive
Congers, NY 10920-1710
If paying by check, make
the check out to Joe Soll. Questions,
email me: joesoll@adoptionhealing.com
|