Adoption Healing Order Form                        ah

Over 30 years of helping those whose lives have have been touched by adoption

 If you are paying by Credit Card, the address you give must be the address at which you receive your Credit Card Bill.

   *  = Required              SiteLock
 *  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.

Payment Information          

*Amt 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.
Please press the SUBMIT button below

Signature _______________________________________        Date ________________

You may make your payment by faxing your Name and Credit Card info 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.

   E-mail me at joesoll@adoptionhealing.commailbox

Last Updated on February 14, 2014 by Joe Soll     
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