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
Birth Doula Training Workshop Registration & Book Order Form
Name & Billing Address: Ship To: (if different from Billing Address)
 
 
 
 
 
 
  
 
 
 
 
 
Home#: Work#:
Place of Employment:
Email:
Course Location:
Course Dates:
Book Order List
Qty. Title

Price
  The Doula Book

$20.00
  Gentle 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, Childbirth & the Newborn

$15.00
  Thinking Woman's Guide to a Better Birth

$15.95
  The Ult. Breastfeeding Book of Answers

$19.95
Subtotal:

 
Tax: (KS Residents Only on products.

 

*Tuition: $375.00
($25 discount if paid 21 days prior to workshop)

 
Shipping & Handling: (see below)

 
Total:

 
*Tuition is $375.00 - course deposit of $100.00 is due, plus the cost of books, if applicable. $25 discount if balance of tuition is paid 21 days prior to workshop.

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
$0.00 - 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. Deposit due at time of registration to guarentee enrollment in workshop.
Check or Money Order
Amount enclosed $ __________________________
Credit Card:
MasterCard    Visa    Discover   (circle one)

Account# ____________________________________ Exp. ____________

Signature ___________________________________
To process, signature and expiration date are required.
This file last modified 12/29/07