FASCETS Order Form

FASCETS Order Form

Written Material:
Fetal Alcohol / Neurobehavioral Conditions: Understanding and Application of a Brain-Based Approach – A Collection of Information for Parents and Professionals, by Diane Malbin, MSW 237 Pages, Third Edition, Revised 2018 / Quantity Price
____@$35.00 ______
Trying Differently Rather Than Harder, by Diane Malbin, MSW
84 pages, Third Edition, Illustrated, Revised 2017
(Quantity discount for Trying Differently: 50 or more copies - $17.50 each) / ____ @ $20.00 ______
Training DVD:
Fetal Alcohol and Other Drug Effects – A Four-Part Training Series for Parents and Professionals
Part 1 -- Diagnostic Criteria: Effects of Prenatal Exposure
Part 2 --Common Learning and Behavioral Characteristics
Part3 --Behaviors and Overlapping Diagnoses
Part4 -- Barriers to Identification: Historical, Cultural, Professional and Personal
Price for parents, caregivers (Sliding fee scale available on request)
Price for professionals, organizations / ___@$150.00______
___@$200.00______
Subtotal: $______
Shipping/Handling:
U.S. -- $6.00 per shipmentPLUS per item charge:
$4.00 for each copy of Fetal Alcohol/ Neurobehavioral Conditions
$3.00 for each copy of Trying Differently Rather Than Harder
$2.00 for each DVD
CANADA -- $7.00 per shipment PLUS per item charge:
$12.00 for each copy ofFetal Alcohol/ Neurobehavioral Conditions
$5.00 for each copy of Trying Differently Rather Than Harder
$4.00 for each DVD
***EMAIL OR CALL FOR SHIPPING & HANDLING ON LARGE ORDERS***
INTERNATIONAL -- Please email for Shipping
and Handling rates
Plus Shipping/Handling:
Send order form and check TOTAL:
or money order to: / $6.00______
____ @ $4.00 =______
____@ $3.00 =______
____@ $2.00 =______
$7.00______@ $12.00 = ______
___@ $5.00 =______
___@ $4.00 =______
$______
$______
(U.S. funds only)
FASCETS
PO Box 69242
Portland, OR 97239
--To pay by credit card, email Wendy for a PayPal invoice:
--For Canada and other foreign countries, please pay by International Money Order
orwith a U.S. dollar bank draft (or add a $25.00 foreign check fee). We accept U.S. funds only.
SHIP TO:
Name______
Organization______
Address______
City______State/Province______
Zip/Postal Code______Country______Phone______
Pleaseadd my email for FASCETS workshop information:______
Thank you for your order. Please allow two to three weeks for delivery.
Phone/fax: 503-621-1271 Email: Website:
* Prices are in US dollars. Information on our sliding fee scale or quantity discounts is available on request.