Order form for the CPM Brochure

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 Ext 2
Email: applications@narm.org

Contact Us:

NARM Phone and
Fax Number

For all Departments
888-842-4784

NARM General Information

Debbie Pulley
5257 Rosestone Dr.
Lilburn, GA 30047
info@narm.org

NARM Applications and Testing Department

PO Box 420
Summertown, TN 38483
applications@narm.org

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