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Order Form

Please fill out the order form below .

First Name
Last Name
Mailing Address
Zip Code
Home Phone (Primary Contact Number)
Please fill in the quantities below for each item you would like to order:

Be Safe... Be Aware!

$39.95 each + S/H of $11.00 each

Educational Board Game - Qty:

Alice Doesn't Babysity Anymore

$8.95 each + S/H of $5.00 each

Educational Book - Qty:

mPower Wellness Workshop CD

$39.95 each + S/H of $5.00 each

Stress Management CD - Qty:

Please send a check or money order to McGovern & Associates. Upon receipt of payment, your order will be shipped. Send Payment to:

McGovern & Associates

PO Box 10263

Portland, OR 97296