Spanish for Health Care and Childbirth Order Form
	Name ____________________________  Position____________________ Address ______________________________________________________ City ______________________  State ___________  Zip ______________ Daytime Phone ( ____ ) _________________________________________ Home Phone ( ____ ) __________________   Email __________________ Item #1 _______________ Price $_____ Quantity ____ Total Price $_____ Item #2 _______________ Price $_____ Quantity ____ Total Price $_____ Item #3 _______________ Price $_____ Quantity ____ Total Price $ _____                                                                         Sub Total   $ _________                                                                      Shipping       Included                                                                             Total           $ _________
		All orders are shipped USPS Media Mail and arrive within 3-4 weeks. Credit Card orders are shipped within 24 hours.  Call for rates on express, priority and over-night delivery for faster service.				Method of Payment ____  Check       ____   Money Order      Check #  ________ ____  Visa          ____   Master Card    Credit Card # ____________________________ Exp. ____________ Signature ________________________________________________ Make check payable to:  Cross Cultural Encounters
			Mail Orders To: Cross Cultural Encounters, P.O. Box 1665, Lajas, Puerto Rico 00667 Phone Orders To: (888) 251-4562 (toll free) Fax Orders To: (787) 899-7976                Questions:  info@crossculturalencounters.com