www.4-mga.org - Video Library

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MG Members may obtain passwords with our online registration system

Seminar Tapes Pamphlets Order Form

leftlogo.jpg (4448 bytes)

MG Members may obtain passwords with our online registration system

Seminar Tapes Pamphlets Order Form

Here's how to order from our Video Library Seminar Tapes and Pamphlets.


1.	Select the items that you wish to purchase.
	Check the boxes next to the items you wish to purchase. You can click on the item name to see a picture of the product. You will have a chance to preview your order summary before it is finally processed.

	The cost of these video tapes and pamphlets are discounted to members of the Association.

Item	Description		Price
A public program on Sexuality and Chronic Illness.
A public program on Sexuality and Chronic Illness	A public program on Sexuality and Chronic Illness will be presented on February 12, 2000.	$	10.00 per person

A public program on Sexuality and Chronic Illness	A public program on Sexuality and Chronic Illness will be presented on February 12, 2000.	$	15.00 per couple

Seminar Tapes
Living With a Chronic Illness	Living With a Chronic Illness	$	30.00
All About Social Security Disability	All About Social Security Disability	$	30.00
Good Pill, Bad Pill	Good Pill, Bad Pill (Drugs and Their Interactions)	$	30.00
MG is Not Just a Diagnosis, It’s a Lifestyle Change	MG is Not Just a Diagnosis, It’s a Lifestyle Change	$	30.00
Everything You Wanted to Know about MG	Everything You Wanted to Know about MG	$	30.00
Living with Myasthenia Gravis-A Feel Good Seminar	Living with Myasthenia Gravis-A Feel Good Seminar	$	30.00
History and The Way the Medication works	History and The Way the Medication works	$	30.00
Communicating with your Physician	Communicating with your Physician	$	30.00
Pamphlets
Nutritional needs…of the individual with Myasthenia Gravis	Nutritional needs…of the individual with Myasthenia Gravis	$	.50
Thymectomy…	Thymectomy…a form of treatment for Myasthenia Gravis	$	.50
Myasthenia Gravis Survival Guide	Myasthenia Gravis Survival Guide	$	3.00
A practical guide to Myasthenia Gravis	A practical guide to Myasthenia Gravis	$	3.00
Caring for the MG Patient	Caring for the MG Patient	$	3.00
Nursing Manual	Nursing Manual	$	7.50
Physician’s Manual	Physician’s Manual	$	3.00
Cookbooks
Cookbook	It has 385 recipes from our members, their families and friends.	$	7.50
Coffee Cups
Coffee Cups	8 oz marbled burgundy cup with our logo in white.	$	5.00

These prices cover postage, handling and the cost of purchasing these pamphlets from the National Foundation.

Shipping and Billing Information

2.	Bill my credit card for these purchases.
	If you do not wish to make payment by credit card, then leave the card information blank and check the box to pay by check or money order. Otherwise, complete the card information to pay by credit card.

		Expiration Date
Card Number		/
Card Holder


3.	I'll send a check or money order for payment.
	If paying by check or money order, check the box above. You'll be able to print a final invoice for mailing or faxing. If using On-Line Checking, then complete the information below.


Account Holder's Name
Name of the Bank
Check Number
Bank Routing Number
Account Number


4.	What is the shipping destination ?
	Your Myasthenia Gravis Association Of Colorado purchases will be sent to the following person and location.


Name
Address
City		State
Country		Postal Code


5.	Additional customer information.
	Please enter your customer information, including phone number and email address in case we need to clarify your order information. If the same as shipping destination, then just fill in Phone and Email.


Name
Address
City		State
Country		Postal Code
Phone		Fax
Email


6.	Special instructions and additional information.
	Please enter any special instructions or additional information about your order.


7.	Proceed to the next screen to Select Quantities.
	When you click the "Select Quantities" button your chosen items will be listed and you can select quantities of each item if you want. Nothing is processed or billed until you preview your invoice. The buttons on this page do not process any billing. And, thanks for shopping at The Myasthenia Gravis Association Of Colorado.

Merchant OrderForm v1.4 written and produced by RGA

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