"Our Journey of Recovery" Order Form

Please follow these simple steps:

  Print  

1. Print and fill out this order form.

2. Mail completed form with your check or money order to:

Advocacy Unlimited, Inc.
Attn: Our Journey of Recovery
300 Russell Rd.
Wethersfield, CT 06109

3. Make check or money order payable to "Advocacy Unlimited, Inc."

  Description

Qty.

Cost Ea.

Amount

"Our Journey of Recovery" Video
"Our Journey of Recovery" CD-ROM
"Our Journey of Recovery" Book

 _____ 
_____
_____

$10.00   
$12.00   
$8.00   

 $ _________ 
$ _________
$ _________

Sub-total: 

 $ _________ 

Shipping (see chart): 

 $ _________ 

Total: 

 $ _________ 

Method of Payment:   ____Check   ____ Money order

(Please make payable to Advocacy Unlimited, Inc.)

Your Name: ____________________________________
Address:  ______________________________________
City: __________________ State: ________ Zip:_______

Daytime Phone: (       ) ______________

Shipping Costs:
First item: $3.95
   Add'l items: $1.00 ea.