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The Syndrome Sentinel

Mail Order Form

Back issues of The Syndrome Sentinel are $5 each (which includes shipping and handling). 

To place your order by check or money order (in U.S. Funds), send this form to:

CSSA
801 Riverside Drive
Lumberton, NC 28358-4625

Your Name _____________________________
Street _____________________________
City _____________________________
State  ____  Zip  ____________
Telephone (optional) _____________________________
Email (optional) _____________________________

 

Issue

Quantity      Price
Winter 2001 ______ $5.00 ea. $______
Summer/Fall 2000 ______ $5.00 ea. $______
May 2000 ______ $5.00 ea. $______
November 1999 ______ $5.00 ea. $______
August 1999 ______ $5.00 ea. $______
May 1999 ______ $5.00 ea. $______
February 1999 ______ $5.00 ea. $______
November 1998 ______ $5.00 ea. $______
August 1998 ______ $5.00 ea. $______
May 1998 ______ $5.00 ea. $______
February 1998 ______ $5.00 ea. $______
November 1997 ______ $5.00 ea. $______
Total $______

 


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Copyright 1999-2001  The Chronic Syndrome Support Association, Inc.
All Rights Reserved.  Health Information Disclaimer

Most Recent Revision Wednesday September 11, 2002