CAN Guide Request | Children of All Nations International Adoption

To receive your free CAN Adoption Guide, please complete and submit the following request form.
You can expect to received this packet by email within two business days.
CAN respects your privacy and will never share your information with third parties.

*Mom's First Name:
*Mom's Last Name:
*Dad's First Name:
*Dad's Last Name:
*Address Line 1:
Address Line 2:
*City:
*State:
*Zip / Postal Code:
*Country:
*Home Phone:	()--
Country Code - (Area Code) - City Code - Phone (USA country code is 1)
Work Phone:	() -
*E-Mail Address:
Best time to contact you:
Preferred contact method:
Marital Status:
*How did you hear about us?:
If Other:
If TV, Radio or Newspaper, please specify:
If Church Bulletin, what Church?:
Are you ready to start the adoption process?
Are you still researching your adoption options?
What country are you researching?:
If Other:
Questions or suggestions you would like CAN to contact you about.
Are you a United States citizen?
Is your spouse a United States citizen? (if applicable)
Have you attended a Great Wall/CAN workshop?
Please inform me of local, free informational workshops.

	* denotes required field