Confident Kids Support Groups

ORDER FORM
To Order: print the form and mail, fax, or call in your order. 
  Sorry, at this time we are not a secure site and cannot take your orders on line. 

 

 Item #:  Description:   Qty.  Price:  Total:
         
         
         
         
         
         
         

Thank you for your order! 

Your purchases support the on-going work of Confident Kids.

Subtotal: 

 

Discount (CK Partners take 20%):

  

S/H (10% on first $100 & 5% on balance - Minimum $3.50):
Note: Allow 4-6 weeks for delivery; please call the office for info on faster service.

  

Tax (CA residents add local sales tax):

  

Grand Total:

  
Name:
Address:

 
City:                                                                           State:       Zip:
Phone: Email:


Checks payable to: Confident Kids /  All major credit cards accepted:

 

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Expiration date: ____ / ____

 

Signature:

Credit Card Customers: Please use only the name, billing address, and ZIP associated with your card

Confident Kids

2422 Divide Way,  Santa Maria, CA 93458

Voice: 805/614-2824           FAX: 805-614-2844

Toll Free Order Line:  877-494-KIDS

Email: Orders@Confidentkids.com