ILADS Order Form
 
First Name: Middle Name: Last Name:

E-Mail:       

Shipping Address:

Comments or Special Instructions:

QUANTITY

DESCRIPTION

UNIT PRICE

AMOUNT

 

1

2007 Compendium 

  Hard Copy
30.00

"Nuts and Bolts of Lyme Disease" DVD (2006)  

1

        Member Price

59.95

1

        Non-Member  Price

69.95

     Bulk orders 10 or more sets

        Member Price

39.95

        Non-Member  Price

49.95

1

2004 Annual Meeting DVD set 

30.00

 

 

Subtotal


 

Sales Tax
(Please check only if you are a Maryland Resident)

6.0 %


Shipping and Handling Via USPS


Included



TOTAL DUE


 

                                                  



Thank you!