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
____ 25 CPM Brochures $15.00 including postage $_________
____ 50 CPM Brochures $25.00 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: applications@narm.org
If you would like to pay using a credit card, you will receive an invoice by email with a direct link for credit card payment once your application has been received and logged in.