Order form for: The Antibiotic Paradox 2nd edition, by Stuart B. Levy, MD Please print this page, then fill in the following information: Language: English: _____ number of copies French: _____ number of copies Method of payment: Price: $17.50 (US) per copy Total enclosed: $__________ ___ Check drawn from a US affiliated bank made payable to APUA ___ International money order made payable to APUA ___ MasterCard ___ Visa Card Number: Signature: Expiration: Today's Date:
Shipping address: Name: Address: Address: City, State: Zip Code: Country: If we encounter problems with your order, how may we contact you: (phone, fax or email):
Mail or fax completed order form to: APUA 75 Kneeland Street Boston, MA 02111-1901 USA Fax: 617-636-3999
ALLIANCE FOR THE PRUDENT USE OF ANTIBIOTICS © 1999