Name (first/given):  (last/family):
Title
Organization
Address
Country
Email
Shipping Regular mail (delivery time depends on destination)
 Fed Ex Domestic US – cash on delivery (C.O.D.)
Fed Ex International -- Provide your Fed Ex account number in the comment field
below, or send $25 (for Asia) or $40 (for Africa) by check or money order to:
International Rescue Committee
Att: Reproductive Health Manager
122 East 42nd Street
New York, NY 10168-1289
USA
Phone Country Code Area Code Number
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