Cocaine Anonymous: Order Form

Cocaine Anonymous World Service -- PO Box 2000 -- Los Angeles, CA 90049-8000 -- 310-559-5833 -- cawso@ca.org

Name:
Address:
Address:
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Country:		Postal Code:
Email:
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Please send me:

Information on large quantity book orders.
Information on other C.A. items.

Hardbound copies of "Hope, Faith & Courage" @ US$12.95
Paperbound copies of "Hope, Faith & Courage" @ US$9.95.
C.A. literature sets (16 titles) US$1.80.
Meeting Formats (Free with order - 10 maximum).
C.A. plastic chip sets (50 chips*) US$17.50.
*Newcomer, 30 & 60 days, 10 ea. • 90 days, 6 & 9 months, 5 ea. • 18 months, 1 - 4 years, 1 ea.

Subtotal

California Residents add 8.25% sales tax
Shipping 10% (USA)/ 12% (Canada,HI,AK)/ 15% (Other)
COD fee (available in USA only) US$4.75

Total

VISA/MC: Expiration:

Note: This is an insecure form. However unlikely, we cannot be responsible for intercepted communications. If submitting credit card information over the Internet worries you, please use our phone option, or send the above information by Fax or Regular Mail to:

Book Orders
CAWSO, Inc.
3740 Overland Avenue
Suite C
Los Angeles, CA 90034 USA

Phone: 310-559-5833
Fax: 310-559-2554

Checks submitted in mail orders must be in US funds drawn on a US bank.

Please be sure to include a telephone number with all orders in case we need to contact you. We will respect your anonymity.

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