To order, print this form, complete and mail to:
Adoption World Specialties Ltd.
Dept. I-N
6920 Wilton Dr. NE
Cedar Rapids, IA 52402

Name: _______________________________________________

Agency: _____________________________________________

Address: __________________________________________

City: _________________________________________________

State: ___________ Zip:______________________

Phone: (        )_______________________________

Fax: (        )________________________________

E-Mail: _____________________________________________

Quantity_____________ @ $3.95 = $_______________

Iowa Residents add 5% _____________
(6% if local option tax applies)

Please e-mail (lovekids@adoptionstuff.com) or call our sales department at (319) 365-3454 for further questions. For orders outside the U.S., please contact us at (319) 365-3454 or by e-mail before ordering.

All prices and shipping rates are subject to change.