ORDER FORM

CRN of Northern California/Northern Nevada Publications

QUANTITY	PHAMPLETS ($5.00 for any 20) Postage 20-100 = $1.75 125-200 = $3.50 etc.	Unit Price	Shipping	Amount
	Fluid Facts
	Good News for Snackers
	Emergency Diet
	Help! I’m a New Dialysis Patient
	Meal Pattern for Extended Care Facilities
	Picnic and Barbeque Ideas
	Summer Enjoyment
	Your Diet/Meal Pattern
	BOOKS
	Carbohydrate/Sodium Cookbook	$7.50	$2.50
	Urea Kinetics-Nutritional Management	$14.95	$2.50
	Cultural Foods and Renal Diet	$50.00	$8.00
		Subtotal
		Canada add $23.00
		Total Enclosed

ALL ORDERS MUST BE PREPAID.

Foreign orders must be prepaid by money order or postal money order in US dollars. Make Check payable to CRN of N. California/N. Nevada. No Refunds.

MAIL ORDER TO:

Suzanne Gibson, RD
UCSF Medical Center - Mt. Zion Dialysis
1675 Scott Street
San Francisco, CA 94115-1617
Phone (415) 353-7725
Fax (415) 885-7396
Email: suzanne.gibson@ucsfmedctr.org

SEND PUBLICATIONS TO:

Name__________________________________________

Address________________________________________

City/State______________________________________

Country/Zip Code________________________________

Phone_________________________________________

Allow 4-6 weeks for delivery.

Carbohydrate/Sodium Cookbook

Subtotal