Order Form

Please email us at info@healingcare.org with any questions you may have.
A downloadable .pdf format of this order is also available.

First Name: *

Last Name:*

Address:*

City:*

State/Providence:*

Zip/Postal Code:*

Phone:*

Email:*

Leader Guides I would like to order:

1 - $115.00
2 - $230.00
3 - $345.00
4 - $460.00
5 - $575.00
6 - $690.00
Other (please specify)

Requirements: THE DAD CONNECTION Leader Guide is reserved for those that have completed one of the following: Formational Prayer Seminar, Formational Prayer course, or the Doctor of Ministry Formational Prayer course.

I have completed one of the above requirements.
I have not completed one of the above requirements. Please send more information about the Formational Prayer Seminar.
Other (please specify)

Participant Guides I would like to order:

1 - $95.00
2 - $190.00
3 - $285.00
4 - $380.00
5 - $475.00
6 - $570.00
Other (please specify)

The US Shipping/Handling charges for my total order:*

The TOTAL amount due for this order is:*

Payment Options:*

I am mailing a check payable to "Healing Care Ministries" to PO Box 772, Ashland, OH 44805
I will call in my credit card information to the Healing Care office at 567-203-1815.
Other (please specify)

Leader Shirt Size(s): ** A separate order from is provided in the Leader Guide for Participant Shirts.

Small
Medium
Large
X-Large
XX-Large
XXX-Large
Other (please specify)

Processing Time:*

I understand I need to allow 2 weeks from the time the full payment has been received for the order to be processed and delivered.

Enter the text you see in the security image (not case sensitive):

The Dad Connection

Upcoming Events March 14-17, 2012
The Essentials Seminar April 23-30, 2012
Extensive Care Retreat April 30 - May 2, 2012
Small Group Seminar June 6-9, 2012
Formational Prayer Seminar June 18-25, 2012
Extensive Care Retreat