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Print And Mail Application for
The Fibromyalgia Connection
1. Print out application
2. Fill out all information
3.Enclose a check or money order for $7.00 (US)
4. Make payable and mail to:
Theresa Hardy
The Fibromyalgia Connection
721 Carnation Drive
Sebastian, Florida
32958-4911


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***** Outside of the United States ?
Please add additional $1.00 for postage.

***** All orders will be mailed within 3 business days
of your application's arrival.

***** If you need at least 10 or more publications
for support groups, etc., please email me for
prices on bulk rate copies.

***** The 27 page Introductory Publication
and all subsequent Update Issues are protected by Copyright.

***** The Fibromyalgia Connection Publication
is only available through U.S. mail
and not available on computer format.

***** The Fibromyalgia Connection also offers
Intercessory Prayer and Research into Alternative Therapy.
Development of Specialized Support Groups are
on the horizon as well.

--------------------------------------------------------------------

Please send me The Fibromyalgia Connection Introductory Publication.
I understand that I will then be eligible to receive
Quarterly Update Issues on a donation basis.

Kindly use legible print

NAME: __________________________________________

ADDRESS:________________________________________

CITY STATE ZIP: ________________________________

________________________________________________

EMAIL ADDRESS: _________________________________



Please take a moment to answer a few questions:

Do you personally suffer from Fibromyalgia?

How did you hear of The Fibromyalgia Connection?

PLEASE MAKE CHECK OR M/O PAYABLE TO:
THERESA HARDY
MAIL TO: Theresa Hardy, The Fibromyalgia Connection

721 Carnation Drive, Sebastian, Florida 32958-4911






The Fibromyalgia Connection...Theresa Hardy
721 Carnation Drive
Sebastian Florida 32958-4911
561-589-5504

FMSfighter@aol.com


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Page Updated Sun May 2, 1999 3:24am EDT