Pediatric Behavioral Health Resources, LLC
215A Holly Lane Waverly, TN 37185
 
 

Order Form

 

  Please print this order form, fill out all information and send to the address above. Or, fax your order to 931-296-9813. If you have problems or need assistance, call us at 931-296-9853. Or, email me @ catherinecain@bellsouth.net.  Remember that providing your email address is mandatory for us to be able to send the URL link for your E-Book.

  Please check books you are interested in purchasing:

NAME OF E-BOOK

COST

When Time-Out & Stickers Don't Work $14.95
Working with Autism: A "How-To" Booklet  $9.95  
Working with ADHD: A "How-To" Booklet  $9.95  
Caregiver Perceptions About Children with Atypical Behavior $9.95  
101 Positive Pointers for Preventing Problem Behavior in Young Children $14.95  
     
            Total Amount Due    

Please indicate how you will be making payment:

Visa/Mastercard/Check/Money Order/Cash

Credit Card Information:

*Name on Card: ___________________________

*Account # _______________________________ Expiration Date: ___________

Please provide us with your email address.  Email address is mandatory for us to send URL link for your E-Book.

*Email Address: _________________________________________