FAX:
270-342-3854
Web: http://www.informationfortomorrow.com
(Please
print and fill out for FAX or Mailing)
NEW
BOOK ORDER FORM
| Company: |
_____________________________ |
Date: |
____________ |
| Address: |
_____________________________ |
P.O.
#: |
____________ |
|
_____________________________ |
Contact: |
____________ |
| City: |
_____________________________ |
Phone
#: |
____________ |
| State: |
_____________________________ |
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| Zip: |
_____________________________ |
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| Quantity
|
Item
|
Cost
|
Total
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| |
TELEHOSPICE:
A RESOURCE MANUAL FOR PROGRAM DEVELOPMENT AND IMPLEMENTATION |
295.00 |
|
| |
HOME
TELEHEALTHCARE: PROCESS, POLICY AND PROCEDURES |
125.00 |
|
| |
HOME
HEALTHCARE: WIRED & READY FOR TELEHEALTH, THE NURSES'&
NURSING STUDENTS' ED. 2003 |
95.00 |
|
| |
|
|
|
| |
Shipping
and Handling - Priority Mail |
10.00 |
|
| |
Shipping
and Handling - Fedex |
15.00 |
|
| |
|
|
|
| |
Sub
Total |
|
|
| |
TOTAL |
|
|
Thank
you for sending your payment, to:
Information For Tomorrow
11 Lakeshore Drive
Asheville, NC
28804
USA
We will send your order within a 48-hour period.
Questions: Please call 828-252-8571 or send email to
telehealthcare@lycos.com
Thank you for the opportunity to work with you!