Healthy Childcare Order Form

Multiple Recipients Mailing List Form
Your Name:
Order ID, if known:
Date of Order:
Mailing List:
Is this a gift? Yes No
Would you like a gift card sent to recipient(s)? Yes No
Are gift cards to be sent to all recipients? Yes No
If one gift card recipient, please fill out the following information.
Name:
Title:
Organization:
Address:
City, State, Zip:
Any other instructions or comments?

Healthy Childcare® Home Page \| Library \| Search \| Questions & Answers \| Links I Am Amazing \| Hip On Health \| Health & Safety Resource Guide \| Order Form Product Spotlight \| Free Issue \| Publisher's Letter \| Contact Us \| Author Guidelines HEALTHY CHILD PUBLICATIONS PO Box 624, Harbor Springs MI, 49740 Fax: 231-526-0428 • Phone: 877-258-6178 or 231-526-6342 email: info@healthychild.net \| Click here to download a printable order form Last Revised: 7/23/08