SUPPLIES FOR DDA MEETINGS
Date: _________________________
Company: ________________________________________________
________________________________________________
Address
________________________________________________
Apt. / Suite
________________________________________________________________________________
City State Zip Code
Contact Person: ____________________________________________________________________________
First Name Last Name
|
ITEM |
DESCRIPTION |
COST |
QUANTITY |
SUBTOTAL |
|
DDA BIG BOOK |
Adult Version |
$10.00 |
|
|
|
DDA BIG BOOK |
Adolescent Version |
$10.00 |
|
|
|
PROFESSIONALS PERSPECTIVE |
|
$10.00 |
|
|
|
DDA WORK BOOK |
12 Steps plus 5 steps |
$10.00 |
|
|
|
New Comer Chips |
White, Less than 30 days clean |
$ 0.30 |
|
|
|
30 Day Chips |
Red, less than 60 days clean |
$ 0.30 |
|
|
|
60 Day Chips |
Green, less than 90 days clean |
$ 0.30 |
|
|
|
90 Day Chips |
Yellow, less than 6 months clean |
$ 0.30 |
|
|
|
6 Months Chips |
Blue, less than 9 months clean |
$ 0.30 |
|
|
|
9 Months Chips |
Purple, less than one year clean |
$ 0.30 |
|
|
|
1 year Key Chain |
Metal Bronze |
$ 4.00 |
|
|
|
More than 1 Year Key Chain |
Metal Bronze |
$ 4.00 |
|
|
|
|
|
|
|
|
|
|
SHIPPING AND HANDLING for Books |
$ 5.00 |
TOTAL |
|
To order these supplies, please send us this list of items + quantities you desire, along with a check or money order payable to Dual Diagnosis Anonymous World Services, Inc.
Print page & send order to:
Dual Diagnosis Anonymous World Services, Inc
320 North E Street Suite 207
San Bernardino, CA 92401
Ph (909) 888-9282 (800) 359-1216 Fax (909) 888-9478
Web Site: www.ddaworldwide.org