Use this form to order brochures in bulk. For a free sample copy, send a business-sized self-addressed stamped envelope to the address listed below.
Send to (PLEASE PRINT)
Name ___________________________________________________
Street Address ____________________________________________
City _________________________ State & Zip __________________
Home Phone _________________ Office Phone _________________
Fax ________________________ e-mail address ________________
Are you a CPM? _____ Yes _____ No
| ____ | Single CPM Brochures | $ .50 each plus postage | $_________ |
| ____ | 25 CPM Brochures | $11.00 including postage | $_________ |
| ____ | 50 CPM Brochures | $20.00 including postage | $_________ |
| ____ | 100 CPM Brochures | $37.00 including postage | $_________ |
| ____ | Total Items Ordered / Amount Enclosed | Checks payable to NARM | $_________ |
Please mail this form, with check or money order to:
The North American Registry of Midwives
PO Box 420
Summertown, TN 38483
Phone: 1-888-842-4784
Email: info@narm.org