 "Cooking
Up a Storm for Scleroderma...Recipes from the Scleroderma
Foundation" Cookbook Order Form
To
order your cookbook, print
this order form, fill it in, and mail it with your
payment to:
Scleroderma
Foundation
Attn: Cookbook Ordering Dept.
300 Rosewood Drive, Suite 105
Danvers, MA 01923
Cookbooks are only $12
($5 thru 12/31/07 –
shipped Media Mail. The price for a cookbook to be shipped
first class is $7.50.) Please call the
Scleroderma Foundation at 800-722-4673 for
more information.
| Name:
_____________________________________________________________________________________ |
Address: ___________________________________________________________________________________ |
City: ___________________________________
State: __________________________ Zip:
_______________ |
Telephone: ________________________________________________________________________________ |
Email: _____________________________________________________________________________________ |
Number of cookbooks ordered: _________
x $12 ($5
thru 12/31/07 – shipped Media Mail. The
price for a cookbook to be shipped first class
is $7.50.) (plus S&H) = _________________________________ |
Payment types: Please enclose check or
money order, or fill out credit card information
below. We accept MasterCard, Visa, and American
Express (circle one). CC #__________________________________.
Exp. Date ________________________________ |
Name as it appears on card: _______________________________________________________ |
|
Signature to authorize charge:______________________________________________________ |
|
