MAIL ORDER FORM
for Childbirth History Resources


____ copy(ies) George Engelmann and "Primitive Birth" ($6) ___________

____ copy(ies) Natural Love: A Parody ($5) ___________

____ copy(ies) Birth History Notecards Set #1 ($15) ___________

____ copy(ies) Birth History Notecards Set #2 ($15) ___________
 
Subtotal ___________

For orders shipped to California , add 7.25% sales tax ___________
All prices include U.S. postage

Total __________

Make checks in U.S. funds payable to Janet Ashford and mail to:
Janet Ashford
10377 Nichols Lane
Mendocino, CA 95460
707/937-4555

Name _________________________________________________________

Address _______________________________________________________

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