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To Order:
Name: _____________________________________________________
Address: ____________________________________________________ _____________________________________________________
Quantity __________ x $10.00 = _____________
Shipping and handling Add $3.00 _____________
(65 cents per copy) ____________
_____________ Total Enclosed
Visa or Mastercard : Card Number: _________________________________________
Expiration date: _________________
Signature for credit card: ________________________________
Please send order form to :
Neil Nathan MD
2828 N. National Ave., Ste D
Springfield, MO 65803
or
Fax to: (417) 869-7592
or
e-mail to : neilnathanmd@wildblue.net
Text copyright 1984 by Neil Nathan
All right reserved, including the right to reproduce this book or portions
thereof in any form without written permission from copyright holders.