Home Contact MACMHB online Purchase Order Form "Michigan Community Mental Health Ambassador Handbook" ON SALE NOW! 40 cents per book plus shipping Shipping/Ordering Information Full Name: Agency: Billing Address Shipping Address: If different than billing address: City, State & Zip: City, State & Zip: Phone: Fax: Email: If different than name listed above. Ordered by: Number of Copies: Price Each: 40 cents per booklet plus shipping Payment Type Mail check payable to: MACMHB, 426 S. Walnut, Lansing, MI 48933 (You will be invoiced for the shipping costs.) PO # (You will be invoiced for the shipping costs.) Credit Card (Your card will be charged one time to include the product and the shipping costs.) Credit Card Type Visa Master Card American Express Discover Credit Card Number Expiration Contact Person (in case of problem with payment) Phone Number Confirmation Print out confirmation page on screen after you submit the form. After submitting this form, please email Tresha Crenshaw at tcrenshaw@macmhb.org for confirmation.
online Purchase Order Form
"Michigan Community Mental Health Ambassador Handbook" ON SALE NOW! 40 cents per book plus shipping
If different than name listed above. Ordered by:
After submitting this form, please email Tresha Crenshaw at tcrenshaw@macmhb.org for confirmation.