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Healing Foods Pyramid Order Form

 

What would you like to order?

Quantity  8 1/2 x 11" Laminated two-sided hand-out depicting pyramid (on one side) and serving size information (on other side) $10 each (tax and shipping included)
Quantity  14 x 20" Laminated one-sided poster depicting pyramid and serving size information $15 each (tax and shipping included)
    Grand total

Your Information

Name*:
Profession:
Name of Business or Institution:
Address*: NOTE:
We cannot deliver to post office boxes.
City*:
State*:
Zip code*:
Phone*:
Email:
Let us know how you are using the pyramid
Comments, Questions and Licensing Requests

Checks only please

Made payable to UM Department of Family Medicine

Mail checks to:
UMIM Healing Foods Pyramid
1018 Fuller
Ann Arbor, MI 48104

Please print this order form and mail with payment. Shipment of your order will occur once payment has cleared.

This transaction is taking place on a secure server. All information is encrypted before transmission.

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