Print
this form and mail it with your check to the: Adelphi Breast Cancer
Program, Adelphi University, School of Social Work, 1 South Avenue,
PO Box 701, Garden City, NY 11530. We will mail you your book(s).
Make
your check payable to the: Adelphi Breast Cancer Program.
I
would like to purchase ______ Creative Cups 2011 book(s) at $25
each + $4 per book for shipping & handling.
Name
_______________________________________________________
Street
______________________________________________________
City
________________________________________________________
State
___________________________________ Zip________________
Phone______________________
Email____________________________
