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PDF: HAWAII DIET MANUAL - 8 Edition ORDER FORM

Cover pdf of HAWAII DIET MANUAL - 8 Edition ORDER FORM Download
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Source: www.nutritionhawaii.org // Topic: Diet Management Manual
File Size: 158.33 kb // Total of Page: 2 Page(s)
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HAWAII DIET MANUAL - 8 Edition ORDER FORM cover pageHAWAII DIET MANUAL - 8 Edition ORDER FORM second page

Short Desciption: Please submit diet manual order and payment to: Hawaii Dietetic Association, PO Box 22298,. Honolulu, Hawaii 96823-2298. Attention: Hawaii Diet Manual. ...

Content Inside: HAWAII DIET MANUAL - 8th Edition ORDER FORM Name _____________________________________________ Receipt No. ________________________ Address _____________________________________________________________________________________ City ______________________ Telephone: Day ( Fax ( Membership Status: Number of Manual(s) State _________________ Evening ( Zip Code__________________ ) _________________________ ) ____________________ ) _____________________ _____ HDA ($40) ______________________ Email ___________________________________ _____ Non-HDA ($55) Subtotal Cost _____________________________ Shipping/Handling Fees * Domestic: $10 per manual International: Unable to determine Shipping/Handling Fee ___________________________ AMOUNT DUE___________________________ * Domestic postage fees may change as determined by the US Postal Service. Oahu orders will not be mailed. Fill out order form. Extra postage may apply. Contact will be made to purchaser for exact amount of payment. METHOD OF PAYMENT _____ _____ _____ Check U.S. currency only. No cash, purchase orders, or travelers checks. Make check payable to Hawaii Dietetic Association. Check #: ____________________ For exact amount only. Name on Card ______________________________________ Credit Card Number _________________________________ Expiration Date _____________ Phone Order___________ Money Order / Cashiers Check Credit Card VISA MasterCard All checks


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