Name:
____________________________________________________
Organization: _______________________________________________
Address: __________________________________________________
City:____________________ State:_________________ Zip:_________
Publication
Physician's Guide to Prevention and Treatment of Osteoporosis
____Single Copy (free of charge)
____Pack of 10 (@ $15 per pack)
Pocket Guide to Prevention and Treatment of Osteoporosis
____Single Copy (free of charge)
____Pack of 10 (@ $5 per pack)
Health Professional's Guide to
Rehabilitation of the Patient with Osteoporosis
____Single Copy (free of charge)
____Pack of 10 (@ $15 per pack)
Pocket Guide to Rehabilitation
of the Patient with Osteoporosis
____Single Copy (free of charge)
____Pack of 10 (@ $5 per pack)
$____TOTAL
Credit Card Orders Only Via Fax
____ Visa ____MC ____ AmEx
Expiration Date________
#__________________________________________________________
Signature:___________________________________________________
Mail this form with payment to:
National Osteoporosis Foundation
Professional Education Department
1232 22nd Street NW
Washington, D.C. 20037-1202
or fax credit card orders to:
202/223-2237, attn: Patient and
Professional Education
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