Order Form
Name_______________________________________________________
Address____________________________________________________
City________________________________State______Zip_________
Phone______________________________________________________
Email______________________________________________________
Please send me the following items:
Qty Description Amount
__ Audio CD - Your Body, Your Birth $14.95.................$______
__ Book - Unassisted Homebirth: An Act of Love $19.95......$______
__ Childbirth Success Kit $59.95...........................$______
___ Conference Tape #1
Welcome/KeyNote $6.00...................................$______
___ Conference Tape #2
Covenant of Love/Reluctant Fathers $6.00................$______
___ Conference Tape #3
Preparing for an Unassisted Homebirth $6.00.............$______
___ Conference Tape #4
Birth Stories $6.00.....................................$______
___ All Four Conference Tapes $20.00........................$______
___ Doctor-delivered Babies and Natural Law: A Conflict
Between the Two" by Marilyn Moran $3.00 ................$______
Sub-Total $______
Shipping/Handling based on sub-total: $______
US
$4.00 for $0.01 - $29.99
$7.00 for $30.00 - $59.99
$9.00 for $60.00 - $99.99
$11.00 for $100.00 - $129.99
$13.00 for $130 and up
International
$12.00 for $0.01 - $29.99
$15.00 for $30.00 - $59.99
$17.00 for $60.00 - $99.99
$19.00 for $100.00 - $129.99
$22.00 for $130 and up
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Send completed form with | Total$______
check or money order payable to:|
|
Terra Publishing |
4103 Plaza Lane |
Fairfax, VA 22033 |
|
Allow 2 Weeks for Delivery |
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