|  * 
                    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         
                      The
                    Supplement and Articles, Etc. must be ordered from
                    Amazon or Barnes & Noble on line 
               | 
            
            
              The price is $23.50 for the Adoptee
                    version & $25.50
                    for  Mom versions which includes
                     
                    S&H in the United States.  ** Insurance NOT
                    included.   
                     
                    If you purchase two or more versions of
                      Adoption Healing at same time,  there will be
                      a  
                      20% discount on the price of each book. Postage for 2nd book
                            is free in the U.S.  
                             S & H for the one or two
                              books is $5.55.   
                 
                               
                    All orders outside the U.S. must be paid in US
                    Dollars. 
                 
                Shipping outside of North
                    America by First Class mail: add $8.00 additional
                    postage for 1 book, 
                    add $11.00 for 2
                    books.       
                    (for more than 2 books, please email me for rate) 
                   
                      Quantity Discounts
                Available for all book purchase. 
               | 
            
            
              
                
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