Academy of Certified Birth Educators & Labor Support Professionals
2001 East Prairie Circle, Suite I
Olathe, KS 66062-5419
800-444-8223 / 913-782-5116
FAX: 913-397-0933
B.A.B.E. Registration & Book Order Form
Name & Billing Address: Ship To: (if different from Billing Address)









Home#: Work#:
Place of Employment:
Email:
Course Location:
Course Dates:
Eligibility Requirements (fill out one of the following):
Registered Nurse License #:
Health Related Field Degree:
Experience (to be reviewed by committee):
Book Order List
Qty. Title

Price

  The Doula Book

$20.00

  Gental Birth Choices 

    $16.95

  Ina May's Guide to Natural Childbirth

$16.00

  Labor Progress Handbook

$29.95

  Nursing Mother's Companion

$13.95

  Pregnancy the Natural Way

$17.95

  Pregnancy, Childbirth & the Newborn

$15.00

  Thinking Woman's Guide to a Better Birth

$15.95

  Ultimate Breastfeeding Book of Answers

$19.95

Subtotal:

 

Tax: (KS Residents Only for books)

 

*Tuition: $550  Late enrollment: $600 21 days prior

 

Shipping & Handling: (see below)

 

Total:

 

*Tuition is $550.00 - a non-refundable course deposit of $100.00 is due at the time of registration, plus the cost of books, if applicable. Balance of tuition due 10 days prior to the first day of class or a $50.00 late fee will apply.

Late Enrollment: Tuition $600.00  21 days prior to course.

Refund (less $100 cancellation fee) will be given if written cancellation notification is received 21 days prior to training. No refunds after the 21 day deadline. Fee can be applied to another workshop.

Shipping and Handling
For Sales Totaling Add
$00.00 - 39.99 $8.10
$40.00 - 59.99 $9.00
$60.00 - over $10.00
Payment Method
Include your check or money order, made payable to:
Academy of Certified Birth Educators, or credit card information as indicated below.
Check or Money Order ( must be received with registration to guarntee enrollment)
Amount enclosed $ __________________________
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MasterCard    Visa    Discover   (circle one)

Account# ____________________________________ Exp. ____________

Signature ___________________________________
To process, signature and expiration date are required.

This file last modified 12/29/07