Mail Order Form

Checks must be drawn on US dollar accounts.  You cannot write US dollars on a check, it must be a dollar account. We are sorry we cannot accept credit cards or CODs. US dollar money orders are acceptable. . Complete this form, print it, 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?"     $8.95
• Mila + Hambone - "Why Can't Sharon Come Out and Play?"     $8.95
• NEW AND REVISED-What Your Doctor May NOT Tell You About Fibromyalgia     $14.95 
• 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
• The Guaifenesin Protocol Mapping Demo Videotape, U.S. vhs format only    $10.00
• The Hypoglycemia Diet Refrigerator Magnet     $5.00
• Symptom Journal    $14.95
• Fibro Queen T-shirt   $10.00  (small, medium, large, x-large, 2x) 3 x is SOLD OUT
• Fibro Queen Tote Bag (red or blue handle)    $8.00
Fibromyalgia Treatment Forum Newsletter     $32.00  NO SHIPPING
Fibromyalgia Awareness Bracelets $3 each for 4 for $10

• DONATION TO ONLINE EXPENSES OR RESEARCH PROJECT (SPECIFY IF YOU WISH)
SUBTOTAL
Select appropriate Shipping and Handling charge
SUBTOTAL
California residents add 8.25% 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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DUE TO CIRCUMSTANCES BEYOND OUR CONTROL SOME ORDERS WERE RECENTLY RETURNED TO SENDERS FROM OUR POST OFFICE BOX. PLEASE RESEND TO ADDRESS ABOVE AND CONTACT US IF THE ORDER IS URGENT.  CLAUDIACMAREK@AOL.COM, OR 310-577-7510.