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! Iím a New Dialysis Patient

 

 

 

 

Meal Pattern for Extended Care Facilities

 

 

 

 

Picnic and Barbeque Ideas

 

 

 

 

Summer Enjoyment

 

 

 

 

Your Diet/Meal Pattern

 

 

 

 

BOOKS

 

 

 

 

 

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:

Richard Duque
205 Kenwood Way
South San Francisco, CA 94080
DuqueR@SatelliteHealth.com

SEND PUBLICATIONS TO:

Name__________________________________________

Address________________________________________

City/State______________________________________

Country/Zip Code________________________________


Phone_________________________________________

Allow 4-6 weeks for delivery.

 

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