Order Form

Please email us at info@healingcare.org with any questions you may have.
A downloadable .pdf format of this order is also available.

First Name: *

Last Name:*

Address:*

City:*

State/Providence:*

Zip/Postal Code:*

Phone:*

Email:*

Leader Guides I would like to order:

1 - $75.00
2 - $150.00
3 - $225.00
4 - $300.00
5 - $375.00
Other (please specify)

Requirements: THE DAD CONNECTION Leader Guide is reserved for those that have completed one of the following: Formational Prayer Seminar, Formational Prayer course, or the Doctor of Ministry Formational Prayer course.

I have completed one of the above requirements.
I have not completed one of the above requirements. Please send more information about the Formational Prayer Seminar.
Other (please specify)

Participant Guides I would like to order:

1 - $60.00
2 - $120.00
3 - $180.00
4 - $240.00
5 - $300.00
6 - $360.00
7 - $420.00
8 - $480.00
9 - $540.00
10 - $600.00
Other (please specify)

The US Shipping/Handling charges for my total order:*

The TOTAL amount due for this order is:*

Payment Options:*

I am mailing a check payable to "Healing Care Ministries" to PO Box 772, Ashland, OH 44805
I will call in my credit card information to Lynne Lawson at 419-207-5547.
Other (please specify)

I would like to order:

Key Chain - $6.00
Dad Connection Bag - $15.00
Dad Connection Polo Shirt - $25.00 (Please specify size under other)
Other (please specify)

Processing Time:*

I understand I need to allow 2 weeks from the time the full payment has been received for the order to be processed and delivered.

Enter the text you see in the security image (not case sensitive):

The Dad Connection

Upcoming Events June 9-15, 2013
The Summer Intensive June 12-15, 2013
June Formational Prayer Seminar July 24-27, 2013
Colorado Formational Prayer Seminar