How to Use This Form:
Completed Order Form Payment (check only. No credit cards). Orders from outside the USA, please send a Money Order in your country's currency.
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Group List A: $295 | Group List B: $399 | Group List C: $195 |
USA Chiropractors List (.5¢ /Record) |
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USA Orthopedic Surgeons List(3¢ /Record) |
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USA Physical Therapists List (1.5¢ /Record) |
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USA Pharmacies List(1.5¢ /Record) |
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USA Hospitals List(1.5¢ /Record) |
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USA Animal Hospitals & Vet Clinics List (1.5¢ /Record) |
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USA Fitness Clubs List: | .................. | ||
Names & addresses only: (2¢ /Record) |
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Names & addresses plus phone numbers (2.5¢ /Record) |
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USA Women Only Fitness Clubs List | .................. | ||
Names & addresses only: $79 (8¢ /Record) |
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Names & addresses plus phone numbers: (10¢ /Record) |
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USA Professional Athletic Teams List(89¢ /Record) |
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World Beauty & Cosmetics Distributors' List (60¢ /Record) |
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World Health Distributors List (about 17.5¢ /Record) |
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Total Amount Paid: $ | |
Mailing Date: |
COMMENTS: