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Please print and fill out the form below.
Sold/ship To:____________________________________________________________ Address:_______________________________________________________________ City/State/Zip:___________________________________________________________ Email Address:__________________________________________________________ Daytime Phone: __________________________Date of order:__________________ Payment By: Check #:_______________________ Money order #:________________ \Visa/MC Credit Card #: _______________________________Expiration Date:_____ Signature: __________________________________________________________
______ REVIEW OF DIETETICS 2010-2011 EDITION at $150.________ Packing/shipping within continental U.S. (1 book $14; $10 each additional book) ________ Illinois residents add Sales Tax ($15.00 per book ) ________ Returns accepted if books are returned in perfect condition within 15
days of receipt. For further information:
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