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 CD #1
    Welcome/KeyNote $6.00...................................$______
___ Conference CDs #2 (2 CD Set)
    Covenant of Love/Reluctant Fathers $6.00................$______
___ Conference CD #3
    Preparing for an Unassisted Homebirth $6.00.............$______
___ Conference CDs #4 (2 CD Set)
    Birth Stories $6.00.....................................$______
___ All Four Conference CD Sets $20.00......................$______
___ 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
$5.00  for $0.01   - $29.99
$8.00  for $30.00  - $59.99
$10.00  for $60.00  - $99.99
$12.00 for $100.00 - $129.99
$14.00 for $130 and up
International
$15.00 for $0.01 - $29.99 
$17.00 for $30.00 - $59.99 
$19.00 for $60.00 - $99.99 
$22.00 for $100.00 - $129.99 
$24.00 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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