Ordering Information

Please print this form. Mail back with your check or credit card information. You may also call 800-611-6081 or 413-549-7798 to place Master Card and VISA credit card orders. Ask about shipping outside the United States.

Note: Combine same title English & Spanish materials for quantity discounts.

1 to 5

6-99

100+

QTY.

COST

Dr. Tom Plaut's Asthma Guide
1999, 310 pages

$15.00

$10.00

$5.00

_____

_____

One Minute Asthma
2005, 7th edition, 64 pages

$5.00

$2.00

$.99

_____

_____

El asma en un minuto
2005, 7th edition, 64 pages

$5.00

$2.00

$.99

_____

_____

Asthma Peak Flow Diary
Pad of 25 three-color sheets
Specify English or Spanish

$5.00

$4.50

$4.00

_____

_____

Asthma Signs Diary
Pad of 25 three-color sheets

$5.00

$4.50

$4.00

_____

_____

Asthma Action Plans on CD
Peak Flow and Signs Based Action Plans and Comprehensive Treatment Plans that you can customize.

$20.00

$12.50

NA

_____

_____

Asthma Charts and Forms for the Physician's Office & Managed Care
2005, 76 pages, includes CD with Action Plans, forms and letters that you can customize.

$95.00

$75.00

NA

_____

_____

Winning Over Asthma
2001, 3rd edition, 40 pages

$7.00

$5.50

$3.50

_____

_____

SUBTOTAL

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Please mail completed form to:

5% Sales Tax (Mass. Only)

_____

Pedipress, Inc.
125 Red Gate Lane
Amherst MA 01002

10% Shipping & Handling
($5.00 minimum shipping charge)

_____

TOTAL

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Money Back Guarantee
If you are not satisfied with materials purchased from Pedipress, Inc., for any reason, we will issue a full refund on orders of less than $150, provided the product or publication is not used or damaged and is returned within 30 days of purchase date