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OPERATIONS: Product Sales Form

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

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ALLERGEN SIGN "Help keep our allergic kids safe"
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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
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Package A - contains l sign and 2 decals
� Member Price: x $ 7 =
� Non-Member Price: x $10 =
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Package B - contains 3 signs and 6 decals
� Member Price: x $20 =
� Non-Member Price: x $28 =
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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
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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
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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=
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ANAPHYLAXIS RESOURCE MANUAL �
� Member Price: x $30 =
� Non-Member Price: x $50 =
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ALLERGEN INFORMATION CARDS �
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Egg, Fish, Shellfish, Soybean, Wheat, Milk, Peanut, Sulphite, Tree nut
� New: Latex, Sesame Seed � � �
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Package A - contains l card and 1 plastic sleeve
� Member Price: x $1.50=
� Non-Member Price: x $2.50 =
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Package B - contains 11 cards and 3 plastic sleeves
� Member Price: x $14 =
� Non-Member Price: x $24=
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NEW RESTAURANT CARD
� Member Price: x $3.50=
� Non-Member Price: x $5.50 =
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EPIPEN� TRAINERS
� Member Price: x $7.50=
� Non-Member Price: x $10 =
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PROTECTUBE� x $19 =
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EPIPEN� POSTER x $ 2 =
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BOOKS:

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� 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: � � �
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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 =

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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

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$40 & under��. $6
$60 & under �.....$8
$70-$100 .............$10
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� Anaphylaxis Network membership: �
new membership
renewal
� Individual / Family $35; Camp/Day-care/School $50; Health Prof. $50; Corporate $100 �
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� Donation
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� � TOTAL

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

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

Name
Address
City/Town
Prov
Postal Code
Tel
Fax
E-mail
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Please send me a membership brochure.
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Contact me, I want to volunteer.
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June 2000

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