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Three convenient ways to order:

1. CALL 778-772-7776 and place your order by leaving a message.
2. Print this order form and mail to address below.
3. For large orders request a quote at sales@CruiseRespite.com

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Please send

The Living Dementia Case-Study Approach to:

Contact: ___________________________________________

Company:__________________________________________

Address:___________________________________________

City:______________________________________________

State:_____________________Zip Code:______________

Daytime Telephone:(________)________________________

Email:_____________________________________________

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Number of Copies: __________

Book Total: _______________ ($20 x number of copies)

Postage & handling: $7.00 first book + $5.00 each additional book

TOTAL ENCLOSED: US$____________(Book Total + postage & handling)

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Payment Method (include with order form)

Check or money order enclosed, made payable to CruiseRespite Solutions

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Mailing Address