Information request form

Information by email is free but limited ... to receive an Information Packet on any product line send $2 to Alternative Health Care, PO Box 809, Andrews, NC 28901. For more than one product add $1 for each additional product information Pak. For a cassette tape on any product line add $1 per cassette tape.

Please provide the following contact information:

Name

Title

Organization

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Work Phone

Home Phone

FAX

E-mail

URL

Please provide the following product information:

Product Name

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail
URL

Information request form

Copyright © 1999 [Alternative Health Care ]. All rights reserved. Revised: May 05, 2002

Copyright © 1999 [Alternative Health Care ]. All rights reserved.
Revised: May 05, 2002