SOUTHEASTERN FAMILY AREA LITERATURE ORDER FORM

      GROUP:                      NAME:                DATE:

      ITEM:                                 QUANTITY:   PRICE:       TOTAL:
      BASIC TEXT (HARD COVER/PAPERBACK)                 $11.00     ___________
      JUST FOR TODAY MEDITATION BOOK        _________   $ 9.00     ___________
      JUST FOR TODAY (GIFT EDITION)         _________   $20.00     ___________
      IT WORKS - HOW AND WHY                _________   $ 9.00     ___________
      IT WORKS - HOW AND WHY (GIFT EDITION) _________   $20.00     ___________
      STEP WORKING GUIDE                    _________   $ 9.00     ___________
      SPONSORSHIP BOOK                      _________   $ 9.00     ___________
      IP #10 - 4TH STEP GUIDE               _________   $ .80      ___________
      WHITE BOOK                            _________   $ .80      ___________
      INTRODUCTORY GUIDE TO NA              _________   $ 2.00     ___________
      IN TIMES OF ILLNESS                   _________   $ .80      ___________
      GUIDE TO LOCAL SERVICE                _________   $ 7.00     ___________
      THE GROUP BOOKLET                     _________   $ .80      ___________
      12 CONCEPTS OF NA SERVICE             _________   $ 1.50     ___________
      BEHINd THE WALLS                      _________   $ .80      ___________
      NA: A RESOURCE IN YOUR COMMUNITY      _________   $ .50      ___________
      WALLET CARDS (PACK OF 50)             _________   $ 1.50     ___________
      TRIFOLD READINGS (PACK OF 15)         _________   $ 1.7S     ___________
      GROUP READING CARDS                   _________   $ 3.00     ___________
      
      INFORMATION PAMPHLETS - PACKETS OF 5.
      # 2 THE GROUP                                     $ 1.75     ___________
      #17 FOR THOSE IN TREATMENT                        $ 1.75     ___________
      #21 THE LONER/STAYING CLEAN
                   IN ISOLATION             _________   $ 1.75     ___________
      # 1 WHO, WHAT, HOW AND WHY            _________   $ 1.50     ___________
      # 5 ANOTHER LOOK                      _________   $ 1.50     ___________
      # 6 RECOVERY AND RELAPSE              _________   $ 1.50     ___________
      # 7 AM I AN ADDICT?                   _________   $ 1.50     ___________
      # 8 JUST FOR TODAY                    _________   $ 1.50     ___________
      # 9 LIVING THE PROGRAM                _________   $ 1.50     ___________
      #11 SPONSORSHIP                       _________   $ 1.50     ___________
      #12 THE TRIANGLE OF SELF OBSESSION    _________   $ 1.50     ___________
      #13 YOUTH IN RECOVERY                 _________   $ 1.50     ___________
      #14 ONE ADDICTS EXPERIENCE            _________   $ 1.50     ___________
      #15 P.1. AND THE NA MEMBER            _________   $ 1.50     ___________
      #16 FOR THE NEWCOMER                  _________   $ 1.50     ___________
      #19 SELF ACCEPTANCE                   _________   $ 1.50     ___________
      #20 H&I AND THE NA MEMBER             _________   $ 1.50     ___________
      #22 WELCOME TO NA                     _________   $ 1.50     ___________
      #23 STAYING CLEAN ON THE OUTSIDE      _________   $ 1.50     ___________
      #24 HEY, WHAT5 THE BASKET FOR?        _________   $ 1.50     ___________
      #26 ASSESSIBILITY FOR THOSE WITH
                    ADDITIONAL NEEDS                     1.50



     

      MEDALLIONS:                  
      1 YEAR ________     6 YEAR ________      11 YEAR ________
      2 YEAR ________     7 YEAR ________      12 YEAR ________
      3 YEAR ________     8 YEAR ________      13 YEAR ________
      4 YEAR ________     9 YEAR ________      14 YEAR ________
      5 YEAR ________    10 YEAR ________    18 MONTHS ________
     
      MEDALLION TOTAL:__________      TOTAL X’S $3.OO _______
     
     
     
      KEY TAGS:
      WELCOME    ________       6 MONTHS   _________
      30 IDAYS   ________       9 MONTHS   _________
      60 DAYS    ________       1 YEAR     _________
      90 DAYS    ________      18 MONTHS   _________
                           MULTI-YEARS    _________
     
     
     
      TOTAL KEY TAGS:________         TOTAL X’S $.50=________
     
     
     
     
      TOTAL LITERATURE ORDER:__________