Center for Relationship Equality

in collaboration with

Groworks, Inc.

Workshops and Books by Gayle Kimball, Ph.D.

Complete the following interest checklist. If you wish to purchase products, print this form prior to submitting. Write a check for the total amount and mail to the address below. You may also order books or contract Gayle Kimball for workshops by calling 530 345-8118. For additional information contact Gayle Kimball at gkimball@csuchico.edu. Book orders can be ordered by mailing order and check to Equality=Press, 42 Ranchita Way, Suite 5, Chick, CAN 95928.

Fed. ID # 55-62-8423

Check each workshop area that interests you. Do so only if you want details of workshop activities and costs.

Energy tools for stress management
Energy clearing to enhance productivity
Creating a family friendly workplace
Low-cost options for worklife programs
How to juggle work and family
50/50 parenting
Facilitating more effective communication between men and women

Check books for purchase. Mail printed form and check to Equality Press.

21st Century Families -- $45.00 per copy
The Teen Trip: The Complete Resource Guide -- $16.95 per copy
Everything You Need to Know to Succeed After College -- $14.95 per copy
How to survive Your Parents' Divorce -- $9.95 per copy
50/50 Parenting -- $9.95 per copy
50/50 Marriage -- $9.95 per copy

Add up totals from each book. Add 7.25% tax in CA only.

21st Century Families -- # of copies X $45.00
The Teen Trip -- # of copies X $16.95
Everything You Need to Know to Succeed After College -- # of copies X $14.95
How to Survive Your Parents' Divorce -- # of copies X $9.95
50/50 Parenting -- # of copies X $9.95
50/50 Marriage -- # of copies X $9.95
Add $2.00 per book for shipping and handling
CA Tax if applicable
Total

Complete the following items so that we can respond to your request.

Last Name:
First Name:
E-Mail Address:
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Voice Telephone:
FAX:

Thank you for taking the time to complete this survey. Select Submit Survey now to send your responses to us.


This questionnaire was created by Koala Build 6.