© 1997 Resource Integration, Inc.

A Time for Healing Printable Order Form

  Name:__________________________________________________



  Street Address:_______________________________________________________________



  City:___________________ State:_________ Zip Code:________________ Country:__________



If this is a gift, would you like the order mailed to a different address? yes / no



  Name of Gift Recipient:__________________________________________________



  Mailing Address:______________________________________________________________



  City:___________________ State:_________ Zip Code:________________ Country:__________





Number of Copies:_____________ x $14.95 (per book) = ______________ 



                          plus shipping & handling +        $4.50   (within US)

                     plus any applicable state tax + ______________ 



                                               Total ______________ 




Please make checks payable to "Resource Integration, Inc." & mail to:
          Hodge-Williams
          105 Red Run Rd #2B2
          Oakland, MD 21550    USA


Allow approx. 4-6 weeks for orders to be received.  If you require overnight shipping,
please call (301) 387 - 8343 and leave a voicemail for Samantha Hodge-Williams. Thank-you. 




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