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Order Form
To order, please complete this form and send to:
Please contact the Central Office with purchase inquiries and availablity
Please pay in advance (international Money Order or Credit Card)
in the amount of US$25.00 plus $5 postage per softcover book, or
in the amount of US$35.00 plus $5 postage per hardcover book,
For international orders add $6 for postage per single copy,
U.S. currency only. Please allow 4 - 6 weeks for delivery
Please do not send cash nor personal check.
Quantity of Order: ____________________________
Amount of Order : US$ ________________________
Orderer: ________________________________________________________
...................DR. Mr. Mrs. Miss. Ms.
SHIP TO:________________________________________________________
Mailing Address__________________________________________________
Mailing Address__________________________________________________
City_________________________State______________Zip Code__________
Country_____________________________
Your Daytime Phone Number:________________________________________
FAX Number:_____________________________________________________
Payment Amount Enclosed
International Money Order: USD $ __________________