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 _________________
e-mail address (required) ______________________________________
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 for this total amount $_________
All fees must be paid by credit card. NARM no longer accepts cashiers checks, money orders, or personal checks. After we receive this form, you will receive an invoice by email with a direct link for credit card payment.
You may either print and mail this form to:
The North American Registry of Midwives
PO Box 420
Summertown, TN 38483
Or you may email the information above to:
applications@narm.org