Order Form

To help support DIVORCEGUIDELINES.COM by purchasing our products, just fill out the top section of the order form and indicate how many of each item you'd like. We donate 50% of all profits to Teen Outreach Pregnancy Services, a non-profit education and outreach organization for pregnant teenagers.

You can also buy any of our products as a gift for someone else. To do that, fill out the second section of the Order Form. To arrange for gift delivery to multiple recipients, please fill out this form once for each recipient.

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I would like copies of the GUIDELINES poster ($19.95 each).

I would like copies of the GUIDELINES Workbook ($29.95 each).
Remember: one Free GUIDELINES poster is included with each workbook.

Information about the Purchaser (You)

First Name:

Last Name:

Address:

Address (continued):

City:

State or Province:

Country:

Zip Code or Postal Code:

E-mail address:

Note: Providing your e-mail address is optional. We only use your e-mail address to send you a confirmation of your order -- we hate getting junk e-mail just as much as you do, so we'll never sell or otherwise distribute your e-mail address to anyone else.

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Information about the Recipient (if different from Purchaser)

First Name:

Last Name:

Address:

City:

State or Province:

Country:

Zip Code or Postal Code:

E-mail address:

Note: Providing the recipient's e-mail address is optional. We only use it to verify receipt of delivery and to request feedback about the delivery service. Again, we'll never sell or otherwise distribute this e-mail address.

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Gift Message (optional):

If you would like a greeting card to accompany a gift delivery, please type here the message you would like written on the card.

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Additional Information (optional):

Include any other information here that you would like us to know, such as special delivery instructions etc.

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How did you hear about us? (optional)

Please tell us how you found out about DIVORCEGUIDELINES.COM, and if you used a search engine, we would be very grateful if you could tell us the name of the search engine you used.