Taking SAFESTART Home

SafeStart Home DVDs Order Form

Note: We are not currently accepting credit card information online. If you would like copies of any or all of these DVDs, simply fill out this form and we will contact you to complete the transaction or you can call us toll-free at 1-800-267-7482, Monday to Friday from 8:30am to 4:30pm EST.

Please provide us with the following information:

Your Name:
Address:
Address:
City:
State/Prov:	Zip/Postal Code:
Phone:	(Daytime)
E-mail:

How many of each DVD would you like to order?

Enter Qty:	Taking SafeStart Home ($9.95 each plus taxes and S&H)
Enter Qty:	Boo Boo Bandits ($9.95 each plus taxes and S&H)
Enter Qty:	Hurt at Home ($9.95 each plus taxes and S&H)
Enter Qty:	SafeStart on the Road ($9.95 each plus taxes and S&H)
Enter Qty:	4-Disc Package ($29.95 each plus taxes and S&H)