To order, print this form. Address and fax number below.
| Publication |
Quantity |
Price |
Total |
| Abortion and Options Counseling: A Comprehensive Reference | # | $25.00 | $ |
| Coping Successfully After an Abortion | # | $ | $ |
| After Her Abortion: For Parents, Male Partners and Friends | # | $ | $ |
| Spiritual
Comfort: Before and After an Abortion |
# | $ | $ |
| How to Cope With Guilt | # | $ | $ |
| "I'll Never Have Sex Again!" | # | $ | $ |
| All new! Birth Control Guide at a Glance | # | $ | $ |
| Women Know | # | $ | $ |
| Women Know Poster | # | $12.50 | $ |
| Las Mujeres Saben (Women Know) | # | $ | $ |
| Item Subtotal | $ | ||
| Please add 7% tax (or show tax ID # and send certificate of exemption) | $ | ||
| Add 10% of Item Subtotal for shipping & handling. Orders outside the continental U.S. will be billed the additional postage. | $ | ||
| Total
Enclosed (U.S. Dollars only) |
$ | ||
Send check or money order made payable to: The
Hope Clinic for Women, Ltd.
1602 21st Street, Granite City, IL 62040.
Or fax your order to (618) 451-9092
MasterCard/VISA #_______________________________ Exp. Date___________
Name:_________________________________________________________________
Position:_______________________________________________________________
Agency:________________________________________________________________
Address:_______________________________________________________________
City:_____________________________ State:____________ Zip:________________
Country________________________________________________________________
Telephone:(_________)___________________________________________________
Prices are subject to change without notice.