Order Form – Individual Sales
FOOT!
Care, Prevention and Treatment
Matthew B. Werd, DPM and E. Leslie Knight, PhD
192 Pages with more than 200 Photographs

$19.95 per book, 4 ways to order 1. Internet Orders: Order Online Now 2. Phone Orders: (800) 477-8934 3. US Mail Orders: ISC Division of Wellness,     Foot Book Division, PO Box 8758, Lakeland, FL 33806 4. Fax Orders: (863) 686-5524

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2. Tax + Shipping and Handling: Add $5.00 per book = $_______                      

3. Total  =$_______                      

4. Payment method (please circle):

          Visa                    Master Card                    or Check (Payable to Foot! Book)

Credit Card Number _____________________ Expiration Date ______________

Amount to charged $______________

Name as it appears on credit card ____________________________

Signature ____________________________

Email____________________________ Telephone __________________________

Ship my book(s) to the following Mailing Address:

Name____________________________, Address____________________________

City ____________________________ State ___________Zip ____________