Implementing a Gluten-Free and Casein-Free Diet

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To order a cookbook, please print this form, complete it, and send it to the fax number or address printed below.
Thank you for your support!

Price: $14.95 (US) each
Shipping and Handling: (International orders please contact for rates).
Two options: $3.50 Shipping for media rate (slower service), $5.00 for Priority Mail (faster).
Michigan residents please add 6% sales tax for each book ordered.

Name: _________________________________

Complete Address: _______________________



Phone: _________________________________

e-mail: _________________________________

My total: $___________ ($14.95 per book, plus $3.50 or $5.00 S&H--see above for explanation)
Michigan residents add 6% sales tax, please.

___ My check is enclosed

___ Please charge my VISA/Mastercard

Card #____________________ Exp date: ___/___

Authorized Signature: ________________________

Would you like to be added to the Gray Center mailing list, to receive information on autism spectrum disorders, resources, and upcoming workshops and conferences?
___ yes, please / ___ no, thank you.

Thank you for your order!

All orders should be sent to: The Gray Center
Fax: 616-954-9749
2020 Raybrook SE, Suite 101
Grand Rapids, MI  49546

Copyright 2001, Laurel A. Hoekman