Order form created at www.parenting-resources.com
Friday September 5, 2008, 11:43 am
  (prices subject to publisher's changes)

Mail your order to:
Glazebrook and Associates            Click to return to Shopping
4325 North Kenmore
Chicago, Illinois  60613
Voice Phone 773-525-5977
Fax             773-525-6532
email judy@parenting-resources.com

Your cart is empty!!!

 


Bill to...

Name-Position ________________________________________

Organization-Program __________________________________

St. Address __________________________________________

City ________________________________________

State _____________ Zip _____________

Phone Number _____________________________

P.O. Number  ______________________________

Authorized Signature __________________________________



Ship to...

Name-Position ________________________________________

Organization-Program __________________________________

St. Address __________________________________________

City ________________________________________

State ____________ Zip _____________

Phone Number __________________________


Your Order Total is $  (includes a $ shipping/handling charge).

Please circle method of payment:

     Check/Money Order      VISA     MASTER CARD     School purchase order

If paying by credit card...

Card Number ________________________________ Exp. Date (MM/YY) ________

and thanks for ordering from us!