Instructions: Please fill out the below form and submit. This will allow us time to prepare your order. Make your check in the amount of $20.20 ($14.95, plus $5.25 shipping and handling), payable to "Bringing Elder Care Home" and remit to the above address. You will receive your hard copy within 4 weeks. Thank you for your order! Name Organization Street Address City State Zip Phone Number Fax Email   When you receive my check in the mail, please send me a hard copy of Elder Care: A Six Step Guide to Balancing Work and Family. Ship to the above address.