==============The Ministry of Midwifery Order Form================

Mail to:

Ministry Of Midwifery
PO Box 356
Linwood, NC 27299
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Ship to address:

Name______________________________________________________________

Address___________________________________________________________

City/St/Zip_______________________________________________________

Phone#____________________________________________________________

Email Address_____________________________________________________


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  Qty.             Description            Price/each      Total

________    The Ministry of Midwifery       $14.95      __________
_______________________________
                               |
 - Shipping & Handling         |              Subtotal: __________ 
   US Priority Rate: $3.85     |              
   International:    $9.00     |              
                               | **Shipping & Handling: __________ 
                               |                        
 - Multiple Copies:            |      North Carolina -
   Add $2.00 for each          |   Add 6.75% sales tax: __________ 
   additional copy             |         
_______________________________|          
-Prices and rates subject                     ***Total: __________
to change.                                    


   ***!!!Please be sure to include your check or money order
      made out to Patti Barnes for prompt attention!!!
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