ORGANIZATION TO ACHIEVE SOLUTIONS IN SUBSTANCE-ABUSE
| O.A.S.I.S. |
| About Us |
| Staff |
| Support Groups |
| Advocacy |
| Research |
| Preceptorships |
| Books & Videos |
| Order Form |
| Publications |
| Boards |
| Donations | HepC:411 |
| Contact Us |
To place an order, fill out this form, print & fax to the number below.
Title:
First Name:
MI:
Last Name:
Suffix:
Company/Organization Name:
Address Line 1:
(e.g. 1234 Main St Apt 102)
Address Line 2:
City:
State:
Zip Code:
Daytime Phone:
Evening Phone:
E-mail Address:
Fax:
How many English-version patient workbooks do you want?
How many Spanish-version patient workbooks do you want?
Please send me a copy of the
YOU MAY NOT ORDER OUTSIDE THE PRESPECIFIED QUANTITIES. ORDERS MADE OUTSIDE THE PRESPECIFIED QUANTITIES WILL BE DISREGARDED. PLEASE ALLOW 10-20 WEEKS FOR DELIVERY. IF YOU REQUIRE MORE MATERIALS, SIMPLY FAX ANOTHER FORM.
FAX ALL REQUESTS TO: 1.510.834.0916