Adagio Health Resources Order Form
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For more information, please call 1-800-215-7494 or contact Adagio Health. If you would like to order by
mail, please print this form and return it to:
CAPP
Adagio Health
960 Penn Avenue, Suite 600
Pittsburgh, PA 15222
FAX: 1-412-288-9036
I would like to order the following resources:
_____ Family Connections are a series of guidebooks designed
by Adagio Health's Center for Adolescent Pregnancy Prevention to assist
parents in talking with their children of all ages about sexuality.
These guidebooks come in a set of three (Birth to Age 7; Ages 8 to 13; Ages 14 to 18). Please contact Karmell Harris at 1-800-215-7494, ext. 177 to place your order. Complimentary copies are available.
_____ Teen Connections is a resource directory listing teen-friendly social and health services in a specific area. These books are free for distribution to teens, but shipping & handling charges apply. CAPP produces Teen Connections for county listed below.
Cost: Single copies are FREE. Bulk orders will be charged shipping & handling.
_____ Erie County/ Erie
Please make your check payable to Adagio Health.
or _____ charge my VISA/Master Card (circle one) acct. # ____________________ Expiration date ______________
Signature _______________________________________
Mailing Address:
Name __________________________________________
Organization _____________________________________
Street Address ____________________________________
City, State, Zip ____________________________________
Phone ___________________________________________
E-mail ___________________________________________
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