Order Workbooks, Activity Books, T-Shirts + other materials!

OR Click here to download a PDF file of the the order form

BREAKING FREE Order Form

Name _____________________________________________________________________
Address____________________________________________________________________
City ____________________________ State ______ Zip ____________
Phone___________________________ e-mail _____________________________________
-------------------------------------------------------------------------------------------------------------------------------

SDIO Workbook
______ copies @ $25 (1-10 copies) = $ __________
______ copies @ $23 (11-20 copies) = $ __________
______ copies @ $21 (over 20 copies) = $ __________

SDIO Leader Guide (aka SDIO Curriculum)
_______ copies @ $100 each = $ __________

Today’s the day: A Daily Affirmations Book for Girls
______ copies @ $20 each = $ __________

The Self-Defender: A Self-Defense Comic Book
______ copies @ $4.00 (1-10 copies) = $ __________
______ copies @ $3.50 (11-20 copies) = $ __________
______ copies @ $3.00 (over 20 copies) = $ __________

Putting Self-Defense Into Action: A Self-Defense Activity Workbook
______ copies @ $10.00 (1-10 copies) = $ __________
______ copies @ $9.00 (11-20 copies) = $ __________
______ copies @ $8.00 (over 20 copies) = $ __________

Teaching Verbal Skills for Self-Defense
______ copies @ $2.00 = = $ __________

T-SHIRTS

" So I fight .." Quote (On Back) T-Shirts
______ tank tops ((Size: M, L or XL)) @ $14.00 = $ __________
______ t-shirts ((Size: M)) @ $16.00 = $ __________
______ long-sleeve shirt ((Size: L)) @ $18.00 = $ __________

--------------------------------------------------------------------------
SDIO T-Shirts
Size: S M L XL XXL XXXL
Color/style: please identify your first (1st), second (2nd), and third (3rd) choices:

Scoop neck:
_____ light blue/purple flower
_____ light blue/red flower
_____ light purple/dark purple flowerRegular neck:
_____cream/red flower
_____ dark purple/raspberry flower
_____ grey/magenta flower
_____ steel blue/magenta flower
______ SDIO T-shirts @ $13.00 = $ __________
---------------------------------------------------------------------------------------------------------------
Shipping and handling:
Workbook: $3.50 first item, $ .75 each additional = $ __________
Leader Guide: $12 for first guide, $4 for each additional = $ __________
Other materials: $1.00 first item, .50 each additional = $ __________

TOTAL SHIPPING & HANDLING CHARGE $ ______________
TOTAL MECHANDISE ORDERED + $______________
TOTAL PAYMENT DUE = $ _______________

Make checks payable, and mail to: Breaking Free
PO Box 1023 Eugene, OR. 97440