CREIGHTON MODEL FertilityCare TM System PUBLICATIONS ORDER FORM

Transcription

1 CREIGHTON MODEL FertilityCare TM System PUBLICATIONS ORDER FORM PD-1 Order Date Phone # Fax # FertilityCare Center FertilityCare Center ID # Purchase Order# BILL TO: SHIP TO: ** Mailing Label ** c/o Address City/State Zip c/o Address City/State Zip International Orders Indicate date order required Date QUANTITY ITEM DESCRIPTION UNIT PRICE TOTAL PLEASE DO NOT PREPAY, SHIPPING & HANDLING WILL BE ADDED TO THE FINAL BILL SUB TOTAL METHOD OF PAYMENT HANDLING $6.00 Please check one of the following: (US Dollars Only) SHIPPING Bill to be sent with order. Payment will be made by check or money order within 30 days. Please charge to credit card. Shipping charges will be added to the final bill. NE SALES TAX 7% TOTAL MasterCard # Visa # : Exp. Date: Signature: MAIL OR FAX TO: POPE PAUL VI INSTITUTE PUBLICATIONS 6901 MERCY ROAD / OMAHA, NE Phone , Ext.#42 Fax PRICES ARE SUBJECT TO CHANGE

2 CREIGHTON MODEL FertilityCare TM System INTERN PUBLICATIONS ORDER FORM PD-2 Order Date Intern s Phone # Fax # Supervisor s Purchase Order# **Supervisor s Signature must be on the bottom of this form before being submitted to Publications Dept. BILL TO: SHIP TO: ** Mailing Label ** c/o Address City/State Zip International Orders Indicate date order required Date_ c/o Address City/State Zip QUANTITY ITEM DESCRIPTION UNIT PRICE TOTAL PLEASE DO NOT PREPAY, SHIPPING & HANDLING WILL BE ADDED TO THE FINAL BILL SUB TOTAL METHOD OF PAYMENT HANDLING $6.00 (US Dollars Only) SHIPPING Please check one of the following: Bill to be sent with order. Payment will be made by check or money order within 30 days. Please charge to credit card. Shipping charges will be added to the final bill. Visa/MasterCard # : NE SALES 7% TAX TOTAL Exp. Date: Student Signature **Supervisor s Signature: MAIL OR FAX TO: POPE PAUL VI INSTITUTE PUBLICATIONS 6901 MERCY ROAD / OMAHA, NE Phone Ext#42 Fax PRICES ARE SUBJECT TO CHANGE

3 SECTION 7 POPE PAUL VI INSTITUTE PRESS (PUBLICATIONS) The following, booklets, videotapes, audiotapes, presentation slides and brochures are available for purchase from this site. To order, record the identification number, the quantity desired, the price, tax and shipping charges and click here. LATEST PUBLICATIONS BOOKS NPT-1 The Medical & Surgical Practice of NaProTECHNOLOGY By Thomas W. Hilgers, M.D. $209.95, 2004 TOW-1 In Their Own Words: Women Healed Jean Packard, Editor $11.95, 2004 A&P-1 Reproductive Anatomy & Physiology: A Primer for FertilityCare Professionals By Thomas W. Hilgers, M.D. $49.95, 2002 OTHER BOOKS GOL-1 The Gift of Life: The Proceedings of a National Conference on the Vatican Instruction on Reproductive Ethics and Technology. Edited by Marilyn Wallace, RSM, PhD and Thomas W. Hilgers, MD $14.95, 1990 BOOKLETS THE BOOKLETS ARE PRICED: 1-6 PAGES $1.30 each 7-12 PAGES $2.30 each BO-1 NaProTECHNOLOGY: The Contemporary Approach to Women's Health $1.50 By Thomas W. Hilgers, MD (5 pgs.) BO-2 Building a Culture of Life By Thomas W. Hilgers, MD (8 pgs.) $2.50 BO-3 What are Catholic Reproductive Health Services? By Thomas W. Hilgers, MD (8 pgs). $2.50 BO-4 Scientific Research in the Methods of Diagnosing Fertility By T.W. Hilgers, MD (12 pgs.) $2.50 BO-5 Can a Catholic be an Obstetrician-Gynecologist? By Thomas W. Hilgers, MD (6 pgs.) $1.50 BO-6 Is "Catholic Reproductive Health Services" an Oxymoron? By T.W. Hilgers, MD (6 pgs.) $1.50 BO-7 Truth and Compassion By Thomas W. Hilgers, MD (6 pgs.) $1.50 BO-8 God's Design for Human Sexuality: Two Essays By Rev. Benedict Ashley and Thomas W. Hilgers, MD (9 pgs.) $2.50

4 VIDEOTAPES LP Living Proof: A Visual Encounter with the Unborn $19.95 LP3D Living Proof in 3-D: Putting a Face on the Unborn Human Person Available in three separate editions, each at $19.95: LP3D-GP General Public LP3D-ER Elected Representive LP3D-WCP Women in Crisis Pregnancy EHE Encountering Human Ecology: Natural Family Planning $19.95 AUDIOTAPES LI-2 Back Alley Abortion: Fact or Fiction by Thomas W. Hilgers, MD $4.50 LI-3 Rape and Incest: The Emotional Scapegoats of the Abortion Issue by T. Hilgers, MD $4.50 LI-4 Is Abortion Safer than Childbirth by Thomas W. Hilgers, MD $4.50 LI-6 The Important Question of Viability: Extra-corporeal (ECV) vs. Intracorporeal (ICV) by Thomas W. Hilgers, M.D. $4.50 HS-1 Being Sexually Intimate: The Road to Marital Bonding by Thomas Hilgers, MD $4.50 WH-1 Premenstrual Syndrome: A Guide for Both Women and Men by Thomas Hilgers, MD $4.50 WH-2 New Insights into Infertility and Miscarriage by Thomas W. Hilgers, MD $4.50 WH-4 Endometriosis: A Guide to the Disease and its Treatment by Thomas W. Hilgers, MD $4.50 WH-5 Chronic Pelvic Pain: Its Causes and Remedies by Thomas W. Hilgers, MD $4.50 CT-1 Humanae Vitae: The Encyclical Letter of Pope Paul VI $4.50 CT-2 Donum Vitae: The Vatican Instruction on the Respect for Life (2 tapes) $9.00 CT-4 The Teaching Authority of the Church and its Relation to Reproductive Issues by Fr. Ronald Lawler, OFM, Cap. $4.50 CT-5 The Credo of the People of God (Pope Paul VI) $4.50 DS-2 The Challenges of Humanae Vitae by Thomas W. Hilgers, MD $4.50 PBE-1 The Nature of God, Human Existence, Morality, and Personhood $6.00 by Sr. Renee Mirkes, OSF, PhD PBE-10 Humanae Vitae: Exploring its Landscape by Sr. Renee Mirkes, OSF, PhD $4.50 PBE-11 Donum Vitae: Companion Piece to Humanae Vitae by Sr. Renee Mirkes, OSF, PhD $4.50 PBE-12 Evangelium Vitae by Sr. Renee Mirkes, OSF, PhD $4.50 BROCHURES BROCHURES FOR DOCTORS' OFFICES This logo appears on the front.

5 The Brochures (any combination) are priced: $.30 each HANDLING: $6.00 each order plus additional postage or UPS charges Additional, pro-rated charges for over 1,000 brochures Brochures on the CREIGHTON MODEL FertilityCare TM System M-BR-1 The Creighton Model Fertility Care System TM : Professional and Personalized FertilityCare Services M-BR-2 What are Catholic Reproductive Health Services? M-BR-3 The Many Faces of The Creighton Model FertilityCare TM System M-BR-4 12 Great Reasons to Use a Natural Means to Regulate Fertility Brochures on NaProTECHNOLOGY M-BR-19 NaProTECHNOLOGY: The Contemporary Approach to Women's Health Care M-BR-20 Cervicitis: Diagnosis and Treatment M-BR-21 Ovarian Cysts: Recurrent or Otherwise M-BR-22 Answers for Infertility M-BR-23 Infertility M-BR-24 A Disease Based Approach to Infertility M-BR-25 Comprehensive Planning for the Treatment of Infertility M-BR-26 Ovulatory Defects as a Cause of Infertility M-BR-27 The Evaluation and Treatment of Ovarian Hormones Dysfunction M-BR-28 Repeated Miscarriage M-BR-29 Premenstrual Syndrome (PMS) M-BR-30 Important Facts about Endometriosis M-BR-31 Laser Surgery for Endometriosis M-BR-32 Suspected Ectopic Pregnancy M-BR-33 Amenorrhea (the Absence of Menstrual Periods) M-BR-34 Polycystic Ovarian Disease (PCOD) M-BR-35 Ovarian Wedge Resection M-BR-36 Selective Hysterosalpingogram (and Catheterization of the Fallopian Tubes) M-BR-37 Tubal Microsurgery M-BR-38 The Use of Progesterone in Pregnancy Brochures on General Obstetrics and Gynecology M-BR-60 Abnormal Uterine Bleeding M-BR-61 Breast Self-examination M-BR-62 Dilatation and Curettage (D&C) M-BR-63 Cervical Cerclage M-BR-64 Disorders of the Cervix and their Treatment M-BR-65 The LEEP Procedure M-BR-66 Dysmenorrhea and Pelvic Pain M-BR-67 The LUNA Procedure (for Severe Dysmenorrhea) M-BR-69 Understanding Hysterectomy M-BR-70 Human Papilloma Virus (HPV) Infection (Genital Warts) M-BR-71 Menopausal Symptoms and Estrogen Replacement M-BR-72 Uterine Fibroids M-BR-73 The Pap Test

6 Brochures on Contraceptives M-BR-90 About Norplant Brochures on Moral, Philosophical, Sexual and Professional Issues M-BR-120 Physically Touching God By Thomas W. Hilgers, MD M-BR-121 The What and How of Marital Friendship By Mary Rosseau, PhD M-BR-122 Chastity: A Liberating and Joyful Virtue By Rev. Ron Lawler M-BR-123 Fertility Abuse: A Human Ecological Disaster By Thomas W. Hilgers, MD M-BR-124 The Transmission of Faith in the Family: A Personal Witness By Dr. Thomas and Susan Hilgers M-BR-125 The Father Parent By Thomas W. Hilgers, MD M-BR-126 Reproductive Technology, Catholic Teaching and Consistency By Stephen J. Heaney, PhD M-BR-127 Building a Culture of Life with the CREIGHTON MODEL FertilityCare TM System By Thomas W. Hilgers, MD M-BR-128 SPICE: A Positive Approach to Abstinence By Jean Packard, FCP M-BR-129 NFP Spirituality: A Healthy Infection of Love By Mary Rosseau M-BR-130 Sexual Competence and Natural Family Planning By Mary Rosera Joyce M-BR-131 NFP, Openess to Life and Divine Providence By Patrick Lee, PhD M-BR-132 Jesus and Sex By Rev. Benedict Ashley M-BR-133 The Impact of a Contraceptive Mentality By Patrick Lee, PhD M-BR-134 The Pope, the Church and the Bedroom By Mary Rosera Joyce M-BR-135 The Domestic Church: Dignity and Mission By Paul M. Conner, OP, STD M-BR-136 The Human Person in a Whole New Light By Mary Rosera Joyce M-BR-137 What is a Human Person? By Rev. Benedict Ashley M-BR-138 Protect and Serve Love and Life: Modern Popes Challenge Physicians By Thomas W. Hilgers, MD M-BR-139 We Need Good Natural Family Planning Doctors By Thomas W. Hilgers, MD M-BR-140 Prudential Living By Paul M. Conner, OP, STD M-BR-141 Infertility Treatment: A Catholic Option By Sr. Renee Mirkes, OSF, PhD M-BR-142 Conscience: A Sure Guide By Paul M. Conner, OP, STD M-BR-143 Loving the Homosexual Person By Robert E. Joyce, PhD M-BR-144 Technology, Motherhood and God the Father By Joyce A. Little, PhD M-BR-145 Marriage and Virginity: Complementary Vocations By Ronald Lawler, OFM, Cap., PhD M-BR-146 Families Strenghtening Families By John Haas, PhD BROCHURES FOR FERTILITYCARE AND NFP PROGRAMS, CHURCHES, AND INTERESTED INDIVIDUALS This logo appears on the front. The Brochures (any combination) are priced: $.30 each

7 HANDLING: $6.00 each order plus additional postage or UPS charges Additional, pro-rated charges for over 1,000 brochures Brochures on the CREIGHTON MODEL FertilityCare TM System P-BR-1 The Creighton Model Fertility Care System TM : Professional and Personalized FertilityCare Services P-BR-2 What are Catholic Reproductive Health Services? P- BR-3 The Many Faces of The Creighton Model Fertility Care System TM P-BR-4 12 Great Reasons to Use a Natural Means to Regulate Fertility Brochures on NaProTECHNOLOGY P-BR-19 NaProTECHNOLOGY: The Contemporary Approach to Women's Health Care P-BR-20 Cervicitis: Diagnosis and Treatment P-BR-21 Ovarian Cysts: Recurrent or Otherwise P-BR-22 Answers for Infertility P-BR-23 Infertility P-BR-24 A Disease Based Approach to Infertility P-BR-25 Comprehensive Planning for the Treatment of Infertility P-BR-26 Ovulatory Defects as a Cause of Infertility P-BR-27 The Evaluation and Treatment of Ovarian Hormones Dysfunction P-BR-28 Repeated Miscarriage P-BR-29 Premenstrual Syndrome (PMS) P-BR-30 Important Facts about Endometriosis P-BR-31 Laser Surgery for Endometriosis P-BR-32 Suspected Ectopic Pregnancy P-BR-33 Amenorrhea (the Absence of Menstrual Periods) P-BR-34 Polycystic Ovarian Disease (PCOD) P-BR-35 Ovarian Wedge Resection P-BR-36 Selective Hysterosalpingogram (and Catheterization of the Fallopian Tubes) P-BR-37 Tubal Microsurgery P-BR-38 The Use of Progesterone in Pregnancy

8 Brochures on General Obstetrics and Gynecology P-BR-60 Abnormal Uterine Bleeding P-BR-61 Breast Self-examination P-BR-62 Dilatation and Curettage (D&C) P-BR-63 Cervical Cerclage P-BR-64 Disorders of the Cervix and their Treatment P-BR-65 The LEEP Procedure P-BR-66 Dysmenorrhea and Pelvic Pain P-BR-67 The LUNA Procedure (for Severe Dysmenorrhea) P-BR-69 Understanding Hysterectomy P-BR-70 Human Papilloma Virus (HPV) Infection (Genital Warts) P-BR-71 Menopausal Symptoms and Estrogen Replacement P-BR-72 Uterine Fibroids P-BR-73 The Pap Test Brochures on Contraceptives P-BR-90 About Norplant Brochures on Moral, Philosophical, Sexual and Professional Issues P-BR-120 Physically Touching God By Thomas W. Hilgers, MD P-BR-121 The What and How of Marital Friendship By Mary Rosseau, PhD P-BR-122 Chastity: A Liberating and Joyful Virtue By Rev. Ron Lawler P-BR-123 Fertility Abuse: A Human Ecological Disaster By Thomas W. Hilgers, MD P-BR-124 The Transmission of Faith in the Family: A Personal Witness By Dr. Thomas and Susan Hilgers P-BR-125 The Father Parent By Thomas W. Hilgers, MD P-BR-126 Reproductive Technology, Catholic Teaching and Consistency By Stephen J. Heaney, PhD P-BR-127 Building a Culture of Life with the CREIGHTON MODEL FertilityCare TM System By Thomas W. Hilgers, MD P-BR-128 SPICE: A Positive Approach to Abstinence By Jean Packard, FCP P-BR-129 NFP Spirituality: A Healthy Infection of Love By Mary Rosseau P-BR-130 Sexual Competence and Natural Family Planning By Mary Rosera Joyce P-BR-131 NFP, Openess to Life and Divine Providence By Patrick Lee, PhD P-BR-132 Jesus and Sex By Rev. Benedict Ashley P-BR-133 The Impact of a Contraceptive Mentality By Patrick Lee, PhD P-BR-134 The Pope, the Church and the Bedroom By Mary Rosera Joyce P-BR-135 The Domestic Church: Dignity and Mission By Paul M. Conner, OP, STD P-BR-136 The Human Person in a Whole New Light By Mary Rosera Joyce P-BR-137 What is a Human Person? By Rev. Benedict Ashley P-BR-138 Protect and Serve Love and Life: Modern Popes Challenge Physicians By Thomas W. Hilgers, MD P-BR-139 We Need Good Natural Family Planning Doctors By Thomas W. Hilgers, MD P-BR-140 Prudential Living By Paul M. Conner, OP, STD P-BR-141 Infertility Treatment: A Catholic Option By Sr. Renee Mirkes, OSF, PhD

9 P-BR-142 Conscience: A Sure Guide By Paul M. Conner, OP, STD P-BR-143 Loving the Homosexual Person By Robert E. Joyce, PhD P-BR-144 Technology, Motherhood and God the Father By Joyce A. Little, PhD P-BR-145 Marriage and Virginity: Complementary Vocations By Ronald Lawler, OFM, Cap., PhD P-BR-146 Families Strengthening Families By John Haas, PhD **PAYMENT/CREDIT CARD INFORMATION MUST ACCOMPANY ORDER Make check payable to: Pope Paul VI Institute 6901 Mercy Road Omaha, NE Fax (402) Subtotal Handling Charge (Additional postage or UPS charges will be added to the total) Applicable NE Sales Tax TOTAL CHARGE : Organization Address: Telephone: VISA or MC# Exp. Date Signature (By checking this box you give your approval to the Pope Paul VI Institute to bill your credit card.)