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Healing Foods Pyramid Order Form

 

What would you like to order?

Quantity  8 1/2 x 11" Laminated two-sided pyramid and serving size handout $10 each (tax and shipping included)
Quantity  14 x 20" Laminated one-sided pyramid and serving size posters $15 each (tax and shipping included)
    Grand total

Your Information

Name*:
Profession:
Name of Business or Institution:
Address*:
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
715 E. Huron St., Suite 2E,
Ann Arbor, MI 48104

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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