To purchase First Signs products, complete our order form, and mail or fax, or email* it to First Signs.

Please be sure to include the following:

Shipping Information
Name
Practice or organization
Mailing Address #1
Mailing Address #2
City, State, Zip Code
Daytime Phone Number
Fax Number
Email Address

Product Name	Quanitiy	Price	Subtotal
First Signs Screening Kit (only available with the educational video on DVD.)		$95.00
On the Spectrum Educational Video (DVD)		$49.95
On the Spectrum Educational Video (VHS)		$49.95
First Signs Wall Chart: Key Milestones for Social, Emotional, and Communication Development		$4.00
First Signs Parent Brochures (package of 25)		$18.75 $12.50
First Signs Fundraising Bracelet-amethyst purple and peridot green (all proceeds to First Signs, Inc.)		$100.00
Promotional Offers (Must enter promo code # here:_______________) Please note expiration dates; monthly promos are for a limited time only.
	Product Subtotal
	Shipping & Handling (see list of charges below)
	Order Total (in U.S. dollars)		$

Shipping & handling charges (for U.S. only):
Product Order Total	Shipping Cost
$0.00 to $39.99	add $5.00
$40.00 to $99.99	add $7.50
$100.00 to $399.99	add 10% of product total
$400.00 and over	add 8% of product total
We deliver by USPS Priority Mail within the U.S. For International orders, please contact us and we will let you know the charge for shipping and handling and the estimated number of days for delivery.

Payment Information
Method of Payment (check one):   ____MC      ____Visa     ____Discover If payment is by check or money order, please make payable to First Signs, Inc and enclose with order form. Please note: We do not accept purchase orders. For Your Security Against Credit Card Fraud *We require the V-Code on your credit card. This is the 3-digit number following the 16-digit card number on the card back. *Please note that credit card information provided on email orders cannot be guaranteed as a secure method of payment.
Credit Card Number
V-Code (last 3 digits on back of card)
Name on Card
Expiration Date
Signature

Our Return Policy:

If you are not completely satisfied with your purchase, you may return any items within 30 days for full refund of the product price (unless otherwise indicated). Items must be returned in resalable condition

Would you like to make a donation to First Signs?

All proceeds and donations will go towards funding the First Signs program.

Thank you for supporting First Signs.