SMart Mart Book & Product Order Form
Please complete below


Name & Shipping Address

Name
 
Street:
    Apt or suite # 
City:

State:
Zip:    Country:


Contact information:

Phone Number
   
Email Address:
   

Purchase Order Information:

* School name     
School contact NAME
 
Phone number    PO number  
Billing address for product order (if different from above) 

( If you do not know PO number, leave blank, but note we need this information PRIOR to product processing and shipment) 
 

PRODUCT

Quantity

 Price

 TOTAL

BOOKS      
Ideal Classroom Setting for the Selectively Mute Child   $20  
Easing School Jitters for the Selectively Mute Child   $20  
Understanding Katie   $14  

Supplement Guide to Understanding Katie

  $15  

Katie Package (Understanding Katie and Supplement Guide)

  $25  

SM Book Package (ALL four books above!)  * Save $13!

  $60  
       

CDs, CD-ROMs (Actual Presentations from the SM Conferences!)

     

How, When and WHY to use Medication in the treatment of Selective Mutism

  $39  

Selective Mutism & Social Anxiety Disorder; Helping the Child Socialize & Communication Within the Real World

  $69  
       

Communication Products

     

Clip Talker

  $12  

Talking Photo Album

  $25  

Communication Board

  $12  

Dry Erase Board (Free marker/eraser!)

  $8  

Talking Bear!

  $12  

Emergency Bracelets

  $11  
       

TOTAL

     
 

Online

Order products conveniently and easily

Browse and buy online

By Phone

Call us now with charge information

Telephone
215-887-5748

By Mail

Print and mail completed form and fees to:

SMart Center
505 Old York Rd
Lower Level
Jenkintown, PA 19046
Attn: Product order

 

By Fax

Print and send order form with charge information to 215-827-5722

 



For Credit Card Purchase:

Name on Card:  _________________________________________

___Visa     ___Mastercard    ___Amer. Express    ___Discover

Card Number:  ___________________________________________

Expiration Date:  ______ / ______