ANXIETY DEPRESSION ASSOCIATION AMERICA AND OF 8701 Georgia Ave., Suite 412, Silver Spring, MD 20910 Phone 240-485-1001 Fax 240-485-1035 www.adaa.org Brochure Order Form Brochures Quantity per Item* Total $.50 per brochure (ADAA members) $.95 per brochure (nonmembers) X .50 /.95 Anxiety and Depression X .50 /.95 Depression X .50 /.95 Generalized Anxiety Disorder (GAD) X .50 /.95 Obsessive-Compulsive Disorder (OCD) X .50 /.95 Panic Disorder X .50 /.95 Posttraumatic Stress Disorder (PTSD) X .50 /.95 Social Anxiety Disorder X .50 /.95 Anxiety Disorders in Children X .25 Stress-Tip Cards (wallet size) $ * 10% discount for 600 brochures or more Subtotal Shipping & Handling $ 1–100: $5.00 101–200: $7.50 $ TOTAL Shipping and payment information on page 2 1 SHIP TO: Name _________________________________________________________
ANXIETY AND DEPRESSION ASSOCIATION OF AMERICA 8701 Georgia Ave., Suite 412, Silver Spring, MD 20910 Phone 240-485-1001 Fax 240-485-1035 www.adaa.org Brochure Order Form Brochures $.50 per brochure (ADAA members) $.95 per brochure (nonmembers) Quantity per Item* Total Anxiety and Depression X .50 /.95 Depression X .50 /.95 Generalized Anxiety Disorder (GAD) X .50 /.95 Obsessive-Compulsive Disorder (OCD) X .50 /.95 Panic Disorder X .50 /.95 Posttraumatic Stress Disorder (PTSD) X .50 /.95 Social Anxiety Disorder X .50 /.95 Anxiety Disorders in Children X .50 /.95 Stress-Tip Cards (wallet size) X .25 * 10% discount for 600 brochures or more Subtotal $ Shipping & Handling 1–100: $5.00 101–200: $7.50 $ TOTAL $ Shipping and payment information on page 2 1 SHIP TO: Name _________________________________________________________
Brochure-Order-Form%20Updated%20August%202018.docx