Part A: Customer Information |
| First_Name* |
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| Last_Name |
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| Organization* |
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| Shipping Address* |
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| Billing Address* |
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| Email Address* |
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| I would like to receive email updates about CFSH |
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| Phone |
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Part B: Choice of Publications |
| Sexual & Reproductive Health Counselling Guidelines @ $30/each |
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| Guide pour le counseling, santé sexuelle & génésique @ $30/each |
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| Beyond the Basics, Sourcebook - revised 2006 @ $85/each |
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| Beyond the Basics, Sourcebook – original 2001 @ $50/each |
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| Au delà de l'essentiel, Guide-ressources – revised 2006 @ $85/each |
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| Au delà de l’essentiel, Guide-ressources – original 2001 @ $50/each |
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| Finding Our Way, Aboriginal Sourcebook @ $60/each |
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| Youth Talk Back @ $10/each |
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| La réplique des jeunes @ $10/each |
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| Youth Talk Back – Teacher’s Guide @ $10/each |
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| La réplique des jeunes: guide de l’enseignant @ $10/each |
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| Sexual Health in Canada: Baseline 2007 @ $35/each |
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Part C: Method of Payment |
| Payment type* |
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| Total Cost $* |
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