THERAPY AND BEYOND --  ORDERING INFORMATION

For credit card purchase information, please visit Sprint Aquatics at:  www.sprintaquatics.com  or e-mail them at info@sprintaquatics.com

For all other orders--use this form and follow mailing and payment directions:

ORDER FORM:  Please type information and print form using your browser's PRINT function

NAME:

ADDRESS: 

ADDRESS: 

CITY:       

ST:  ZIP:   PHONE:

Number of copies   X $30.00 per copy* = $ .00

*INCLUDES APPLICABLE DOMESTIC TAXES AND SHIPPING/HANDLING CHARGES

For delivery outside of USA;

Number of copies   X $37.00 (US$) per copy = $ .00

Send completed order form with your check (US funds) made payable to WVUSOM to:

WVU SOM
Attn: Dr. Guy Hornsby
P.O. Box 9227
Morgantown, WV 26506-9227   

Allow 4 weeks for delivery.  If you have any questions:

Contact Guy Hornsby @ whornsby@wvu.edu

Contact Paula Briggs @ pbriggs@hsc.wvu.edu

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