ORDER FORM

To order, please print this form, fill in your mailing address and send a check or money order
for the book(s) plus $4.00 shipping (for up to 2 books) to:

Dr. Janette D. Sherman
P.O. Box 4605
Alexandria, VA 22303

Your mailing information:

Name: ___________________________________________________________

Address: _________________________________________________________

City, State, Zip: _____________________________________________________

E-mail address: ____________________________________________________

Quantity ____________ Life’s Delicate Balance @ $10.00 each

Quantity _SOLD OUT_ Chemical Exposure and Disease @ $24.95 each

Sub-Total: __________Book(s)

Shipping: _______4.00 (for up to 2 books)

Total Due: __________

Please make all checks payable to Janette D.Sherman.

Thank you!