LOVES ME LOVES ME NOT - ORDER FORM
ORDERING INFORMATION
• LOVES ME LOVES ME NOT is distributed by the non-profit HANDS & WORDS ARE NOT FOR HURTING PROJECT®.

• Please print this form and mail it with your payment by Check or Money Order
(payable to "HANDS & WORDS ARE NOT FOR HURTING PROJECT®") to:

HANDS & WORDS ARE NOT FOR HURTING PROJECT®
P.O. Box 2644
Salem, Oregon 97308-2644

• ORDER WILL BE SHIPPED AFTER PAYMENT IS RECEIVED

• If your school/agency operates on PURCHASE ORDER
please enter the PO# in the space provided below and fax your order to:

fax: (503) 391-7693

• If you have any questions about your order, please contact us:
voice mail: (888) 443-6299
fax: (503) 391-7693
e-mail: info@handsproject.org

Thank you for your support!
Proceeds Will Go Toward Further Development and Promotion of the Nonprofit
HANDS & WORDS ARE NOT FOR HURTING PROJECT®.
Date:
Purchase Order#:
School, Agency, Business, Other:
Contact Name:
Address:
City:
State:
Zip:
Telephone:
Fax:
E-mail:
Ship To:
ITEMS:
Description Price Quantity
Total Price
LOVES ME LOVES ME NOT:
DVD (27 Mins.)
$150.00
$
Subtotal:
$
Please add $10.00 per tape for Shipping and Handling:
Add S/H:
$
TOTAL COST:
$

Thank You For Your Order!