La Vida International
150 S. Warner Rd., Ste. 144
King of Prussia, PA  19406
Phone: (610) 688-8008
E-mail: info@lavida.org
Web: www.lavida.org

 

PLEASE CONTACT US VIA TELEPHONE OR COMPLETE THE FORM BELOW TO RECEIVE
MORE INFORMATION AND TO SEND US YOUR COMMENTS AND QUESTIONS.

 

E-Mail Address  (Required Field)

First Name(s)    

Last Name(s)   

Address             

City, State, Zip  

Day Time Telephone No. 

Evening Telephone No.    

Marital Status     Married     Single (Required Field)

Would you like to receive our printed information package and DVD?     Yes    No

Please each program in which you have interest:

Standard China Adoption Program       
Special Waiting Child Program (China)
Colombia Adoption Program 
      If you are interested in the Colombia Program, are you or your spouse of Colombian descent? 
Yes    No
Guatemala Adoption Program  (The Guatemala Program is closed at this time.  The government of Guatemala is working to
                                                            comply with the requirements of The Hague Convention on Intercountry Adoption). 

I/we would like to be included on an e-mail list to receive periodic updates regarding the status of the Guatemala Program.

How did you hear about our web site? 

  Friend or Acquaintance    Internet Search   Newspaper Advertisement
  Newsweek Magazine   Adoption Counselor   Church Announcement
  Adoptive Families
       Adoption Guide
  Other Agency or Organization   Other

If "other" please specify in the text box below or if you can provide more details about how you learned about our web site we would appreciate it.

May we include you on our e-mail list to periodically receive news and adoption information?   Yes    No

Please include any comments or questions below.   (If you have a question, please be sure to provide your email address above.)

 

How did you like our web site?  What was the most helpful to you?  What would you like to see that was not already included?

 

If you have asked a question and would like a response via e-mail, please be sure you have included your e-mail address above.  If you have requested our printed information package, please be sure that you have included your mailing address above.  Thank you.