Order Form THE BEST YEAR OF MY LIFE Book 1: Getting Diabetes To order by mail or fax, print this form, complete the appropriate blanks, and remit to Jed Block 4300 Knollwood Lane Appleton, WI 54913-6307 or fax to 920-735-6067.
	Number of Books: ______ times $10.95 = $_________ Plus, shipping and handling $3.95 Subtotal $_________ Wisconsin residents only, add 5% state sales tax $_________ Total $_________
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