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.

Please note that the current brochure states “Each candidate must also complete a clinical component that is at least one year in length and equivalent to 1350 contact hours under the supervision of one or more approved preceptors.”

The new wording which will be included in the next printing is “Each candidate must also complete a clinical component that is at least two years under the supervision of one or more approved preceptors.”

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: 1-931-964-4234
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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