Over 6 years experience & 300 completed intl. adoptions

    Full service agency licensed in Virginia, USA since 2003

    Visit our donation website to see accounts of orphan aid

 

Sense Resource Center

a licensed child-placing agency in Virgina

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Mail Order Form

Please complete the following form and mail it, along with a check or money order,  to SRC  at 

SRC, Inc., 2425 Bowland Pkwy., Ste. 111B, Virginia Beach, VA  23454

Please Print or Type

1. Payment Type:         Check:      Money Order:    

 

2. If this is a gift, we will enclose a card acknowledging the sender. Please write the name of the sender, as you would like it written on the card: 

_________________________________________________________________________

3. Name and address where journal is to be sent: 

_________________________________________________________________________

_________________________________________________________________________ 

4. Please provide a daytime phone number where you can be reached if there are questions:

(_____)_______-____________

5. Order:

          Translation Services : # Pages x $10 = $                              _______                         

           Family History Research Package                                           $500.00              

           Adoption Journal ($15.00 + 3.50 Shipping & Handling):           $18.50                

           Sales Tax (for Virginia families only)                                           $   .68            □ 

Total Payment Enclosed:                                                     $_________________

 

Signature: _____________________________     

 

Copyright 1999-2004 Sense Resource Center

                             

        Last updated: July 26, 2007

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SRC, Inc. is 501 (c)(3) non-profit corporation incorporated in Virginia and a BBB member of Greater Hampton Roads