Print this page for easy ordering via fax or phone.

End of My Rope

______ Order quantity
X $10.00 each
+______ PA residents add 6 % sales tax
+ ______ $5.00 each shipping and handling (priority mail w/ delivery confirmation)
= ______ Sub Total for End of My Rope book



Chronic Illness

______ Order quantity
X $14.50 each
+ ______ $5.00 each shipping and handling (priority mail w/ delivery confirmation)
+ ______ PA residents add 6 % sales tax
= ______ Sub Total for Chronic Illness book

Order Total

= ______ TOTAL for complete order

Shipping Information
Name: __________________________________________________
Address:__________________________________________________
City: __________________________________________________
State: ________ Zip:____________Phone: (____)____-_______
 

Payment Information
Total amount of order: $___________
Payment Method: (check one) ___ Check ___ Money Order ___ Credit Card
Credit Card information: Card type: ___ Visa ___ Master Card
Credit Card Number:___________________________ Expiration Date:________
Signature:________________________________________

Mail or fax your order along with with your credit card information, check or money order to:

Dr. Julie Ann Allender
306 Rickert Road
Sellersville, PA 18960-3414
W: 215-799-2220
F: 215-799-2233

Visa and Master Card accepted.


Allow 3-4 weeks for delivery.
Allow an extra 7 days for personal checks to clear