Canadian and International Order Form

ORDER FORM

CANADIAN AND INTERNATIONAL

To order a copy of our guide:

"Postpartum Depression and Anxiety:
A Self-Help Guide for Mothers"

Please send order form along with payment to:

Pacific Post Partum Support Society
#104 - 1416 Commercial Drive
Vancouver BC V5L 3X9 Canada

NAME:_________________________________________

ADDRESS:_____________________________________

CITY:_________________________________________

PROVINCE:____________________________________

POSTAL CODE:_________________________________

COUNTRY:_____________________________________

EMAIL:________________________________________

TELEPHONE:___________________________________

Prepaid orders only please:

$18.00 x _________ (copies) = __________________

Postage & Handling

Canada $3.00/copy = __________________________

International $6.00/copy = _____________________

International Airmail add $2.00/copy = __________
when ordering 2 or more copies

TOTAL ENCLOSED $____________________________

* Prices subject to change without notice.

~ For multiple-book orders, contact PPPSS at 604-255-7999 or fax 604-255-7588, as P&H costs per copy are less with larger orders. ~

U.S.A. customers - click here to order.

NOTE:

To print the order form portion of this page:

-> Highlight the order form
-> Right mouse click on the hightlighted area
-> Select print
-> Check the "Selection" option button.
    This way you only print what you need.
-> Click OK.

    Or...

-> Copy and paste the order form into a text
    editor and print it from there.