Need Help Services
10936 E. Clovis Ave., Mesa, AZ 85208, (480) 354-3035, needhs@hotmail.com

Order Form for Need Help Services Publications

Complete the following Order Form to obtain one of the Publications from Need Help Services. Please print this form out and send it to us. We will process your order and return it to you as soon as possible.

Customer Information:

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Which Publication(s) are you ordering?

"Dreams" - $11.00 (postage paid) "Need...News?" - $10 per year (quarterly newsletter) "MARITimes" - $12 per year (quarterly newsletter)

Do you want your copy Signed or Personalized?

Signed Only Personalized

How did you hear about Need Help Services?
Direct mail piece Search engine Publishing web site
Magazine Writer's seminar Email Contact
Referral (friend) Banner Ad Other