Candle in the Window.org

A nationwide network of local relief for pregnant women who need help.

candle16
Grow the Flame!
Help spread this campaign far and wide.

Hang on cars, windows, and college dorm rooms!

Ours is the true compassion, that never makes a woman choose between her baby and her own well-being. She can have both!

First change hearts, then minds will follow.

This is a manual check-based order form. For CREDIT CARDS or PAYPAL CLICK HERE.

You may complete this and hit SUBMIT and we will contact you. Or else print it and send with a 10% deposit to:
Candle in the Window
PO BOX 61
Davidsonville, MD 21035-0061

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(*) indicates a required field.

INVOICE

Pricing: *

Quantity Desired (and Subtotal): *

In Maryland add Sales Tax of 6% (Subtotal x .06): *

Add Shipping Charges: *

TOTAL:

WORKSPACE/MESSAGES:

First and Last Name: *

Your Email: *

Organization (if any):

Phone: *

Billing Address with City, State and Zip: *

Shipping Address if Different:

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