In Support of TLC l am interested in participating In the following way

I am interested in becoming a supporting member of TLC 
& receiving IN TOUCH, along with other benefits including 
the Comprehensive Information Package ($45.00 encloced)

Send me the video documentary Our Personal Stories - The Truth 
of Trichotillomania  ($35.95 enclosed)

Send me the Comprehensive Information Package that includes 138 pages 
of useful information and resource material ($15.00 enclosed)


NAME:____________________________________

ADDRESS__________________________________

CITY:____________________________________

STATE:__________ ZIP:____________________

PHONE:___________________________________


Mail to:    Trichotillomania Learning Center
                 1215 Mission Street
                 Sante Cruz, CA 95060