Order Form

To order, print this page and send with your check or money order to:

Monadnock Developmental Services
121 Railroad Street
Keene, NH 03431
Phone: 603 352-1304

Proceeds from the sale of books, training resources, and related products are used to provide supports and services for people with developmental disabilities in southwestern New Hampshire. Thank you for your interest and support!

Item
Quantity
Amount
Shifting Power and Control $34.95
a book of training ideas for self-determination and beyond
   
DreamQuest $79.00
a board game about the highly individual process of person-centered planning
   
PowerShift $79.00
a training game for those who wish to share authority and responsibility
   
Cosmic Questions $79.00
a game which brings fun to the serious topic of keeping safe from blood borne diseases
   
Shipping and Handling
$4.00 per item
   
TOTAL ENCLOSED   $

Return Information (Must be included for your order to be processed!):

Name:____________________________________________________

Address:__________________________________________________

City:______________________________ State:________ Zip:_______

Phone:____________________________

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