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OPERATIONS: Product Sales Form

Please print this form and fax (416-243-7733) or mail it to the Anaphylaxis Network.

         
ALLERGEN SIGN "Help keep our allergic kids safe"
         
Background is made of durable plastic and the interchangeable decals are vinyl. These have been particularly helpful in schools and day care facilities.
    Quantity Price Amount
 
Package A - contains l sign and 2 decals
  Member Price: x $ 7 =
  Non-Member Price: x $10 =
         
Package B - contains 3 signs and 6 decals
  Member Price: x $20 =
  Non-Member Price: x $28 =
         
         
Choice of Decals: Package A - choose 2 decals; Package B - choose a total of 6 decals.
No Eggs Please 1 2 3 4 5 6
No Fish Please 1 2 3 4 5 6
No Milk Please 1 2 3 4 5 6
No Peanuts Please 1 2 3 4 5 6
No Peanuts or Nuts Please 1 2 3 4 5 6
     
Optional: order 2 extra decals only with above purchase of Pkg.A or B
  Member Price: x $ 5 =
  Non-Member Price: x $ 7 =
  Indicate decals: and
         
EMERGENCY PROTOCOL CARD
  Member Price: 1 card x $0.50=
  set of 3 cards x $1 =
  Non-Member Price: (1) x $0.75=
  set of 3 cards x $1.50=
     
ANAPHYLAXIS RESOURCE MANUAL  
  Member Price: x $30 =
  Non-Member Price: x $50 =
         
ALLERGEN INFORMATION CARDS  
 

Egg, Fish, Shellfish, Soybean, Wheat, Milk, Peanut, Sulphite, Tree nut
  New: Latex, Sesame Seed      
       
Package A - contains l card and 1 plastic sleeve
  Member Price: x $1.50=
  Non-Member Price: x $2.50 =
         
Package B - contains 11 cards and 3 plastic sleeves
  Member Price: x $14 =
  Non-Member Price: x $24=
         
NEW RESTAURANT CARD
  Member Price: x $3.50=
  Non-Member Price: x $5.50 =
         
EPIPEN® TRAINERS
  Member Price: x $7.50=
  Non-Member Price: x $10 =
         
PROTECTUBE™ x $19 =
       
EPIPEN® POSTER x $ 2 =
       

BOOKS:

     
  NO NUTS FOR ME x $ 8 =
 
NEW A SPECIAL DAY AT SCHOOL
 x $ 10 =
  NEW ALEXANDER GOES TO A BIRTHDAY PARTY x $ 10 =
  NEW ALEXANDER GOES TRICK-OR-TREATING x $ 10 =
  NEW ALEXANDER AND HIS PALS VISIT THE MAIN STREET SCHOOL x $ 10 =
  NEW ANDREW AND MAYA LEARN ABOUT FOOD ALLERGIES x $ 15 =
  NEW STORIES FROM THE HEART: A COLLECTION OF ESSAYS FROM TEENS WITH FOOD ALLERGIES x $ 20 =
VIDEOS:      
 

NEW "ALLERGEN AWARE ALLERGEN SAFE": ANAPHYLAXIS NETWORK

continuous loop: ideal for offices and displays

x

x

$ 7=

$18=

  FOOD ALLERGY FACT OR FICTION x $35 =
  IT ONLY TAKES ONE BITE x $35 =
  ALEXANDER THE ELEPHANT x $25 =

 

Prices include PST/GST and are subject to change without notice.
We reserve the right to limit quantities. 		SUB-TOTAL: PRODUCT SALES
  POSTAGE & HANDLING
$20 & under……. $4

Over $100, for rush delivery, for USA. & other countries, phone (416-785-5666) or fax (416-243-7733) for rates

  
$40 & under……. $6
$60 & under ….....$8
$70-$100 .............$10
 

 

  Anaphylaxis Network membership:  
new membership
renewal
  Individual / Family $35; Camp/Day-care/School $50; Health Prof. $50; Corporate $100  
     
  Donation
     
    TOTAL

Cheque or Money Order payable to: (must include correct postage & handling)

  
ANAPHYLAXIS NETWORK OF CANADA  
  P.O. Box 57524, 1500 Royal York Road  
  Toronto, Ontario, Canada, M9P 3B6  
     
VISA #  
Master Card  
  Expiry  
  Signature  
     
     

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Please send me a membership brochure.
 
Contact me, I want to volunteer.
 
 

 

June 2000