Book Order Form
To order by mail and pay for your books with a check, please
print out the form below and send with your payment to:
C.H.I.N.
600 North 3rd Street
First Floor
Philadelphia, PA, 19123-2902
USA
Please allow 2-3 weeks for delivery.
The cost of postage and mailing is included in the price of the book. Please
add $1.00 per book for delivery outside of the U.S.
Name____________________________________
Address__________________________________
_________________________________________
City__________________ State__________ Zip_____________
Country___________________________________
Email Address _______________________________________
My Heart Vs. The Real World: Children with Heart Disease, In Photographs
& Interviews (Hardcover) by Max S. Gerber
Cost: $29.00
# of books _____ Total cost _________________
Pump the Bear
Cost: $18.00
# of books _____ Total cost _________________
Blue Lewis and Sasha The Great
Cost: $9.00
# of books _____ Total cost _________________
The Parent's Guide to Children's Congenital Heart Defects
Cost: $15.00
# of books _____ Total cost _________________
In a Heartbeat
Cost: $15.00
# of books _____ Total cost _________________
Total # of books ordered: _____________
Total amount enclosed: ______________
Thank You!
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