Order Form – Parenting: A View from the Therapist’s Chair


Name______________________________


Address____________________________Apt.______


City_______________________State_____


Zip______________ Country____________ 

Phone Number   _____________________


Email:______________________________

Type of Book

Paperback First Edition              $18.97

Quantity _________
 
Hardback First Edition               $28.97

Quantity _________
 

Subtotal                           ________________


Sales Tax (Texas only)             ________________

United States Priority
Shipping & Handling              
Add $4.95 per book                 ________________

International Priority
Shipping & Handling
Add $12.95 per book                ________________
           


                              Total _______________


Texas Residents add 8.25 %  sales tax

Payment Method:  Check or Money Order only
Make checks payable to Jerry W. Beare, Sr.
Mail to: Jerry W. Beare, Sr.
         1620 Drake Drive
         Commerce, Texas 75428