Yes, I wish to order the program
"Fibromyalgia: Relief from Chronic Muscle Pain"

ISBN 0-9653493-2-2

What is included in your program:


 

Name:_______________________________________________ Date:_____/_____/_____

 

Address:______________________________________________

 

City: _____________________________ State_______ Zip: ____________

 

Phone: (_____) _______________ Fax: (_____)________________ 

 

E-Mail:____________________________________

 


Cost of program:

.................

 $25.00

Shipping/Handling: .................

$9.95

Total:

.................

$34.95


Make check payable to Paul Davidson, M.D. and mail with a copy of this order sheet to:

 

Paul Davidson, M.D.

134 Linden Lane

San Rafael, CA 94901-1342