Educational Tools Order Form

Please fill out the order form below .

	First Name

	Last Name

	Mailing Address

	City

	State

	Zip Code

	Home Phone (Primary Contact Number)

	Email:

	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