Mail Order Form

Checks must be drawn on US dollar accounts.  You cannot write US dollars on a check, it must be from a US dollar account. US dollar money orders are acceptable.  Complete this form and mail it with your check to

 Fibromyalgia Treatment Center, Inc.
 PO BOX 64339

LOS ANGELES, CA. 90064
Name:
Address:
City:
State/Province
Zip Code
Country:
Daytime Phone:
Email:

Item Quantity Total
• Mila + Hambone - "Why is Mommy Staying In Bed Again Today?"     $8.00
• Mila + Hambone - "Why Can't Sharon Come Out and Play?"     $8.00
• REVISED 2012-What Your Doctor May NOT Tell You About Fibromyalgia     $17.99 
• What Your Doctor May Not Tell You About Fibromyalgia Fatigue     $14.95
• PEDIATRIC BOOK IS CURRENTLY SOLD OUT
• The First Year--Fibromyalgia: An Essential Guide for the Newly Diagnosed     $15.95
• The Guaifenesin Protocol Lecture and Mapping DVD     $20.00
DVD of Dr. St. Amand's Fibro Free Canadian Seminar (Sept 2008) $12.00   NO SHIPPING
• The Hypoglycemia Diet Refrigerator Magnet     $5.00 each or $8.00 for 2
• Symptom Journal    $14.00
• Fibro Queen T-shirt   $5.00  (small, medium, large, x-large)
• Fibro Queen Tote Bag (red or blue handle)    $2.00 or 5 for $8.00
Fibromyalgia Treatment Forum Newsletter     $28.00  NO SHIPPING
Fibromyalgia Awareness Bracelets $3 each  LIMITED QUANTITIES AVAILABLE

SUBTOTAL
Select appropriate Shipping and Handling charge (SEE BELOW)
SUBTOTAL
California residents add 8.75% sales tax
TOTAL
If you have any questions or problems please contact (310) 577-7510.
Please allow 2 weeks for delivery. Thank you for supporting the Fibromyalgia Treatment Center research fund.
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                                                                                                                  THE ABOVE SHIPPING IS FOR PRIORITY MAIL. 

                                                                           FOR A LESS EXPENSIVE OPTION ITEMS CAN BE SENT MEDIA MAIL TO US CUSTOMERS.

                                                                           RATES ARE: $2.50 FOR 1 BOOK, $3.00 FOR TWO, $4.00 FOR LARGER ORDERS. 

                                                                           DVDs or MAGNETS ONLY, ADD $1.00.