Fluoride, Teeth and the Atomic Bomb Order Form

Fluoride, Teeth and the Atomic Bomb

Order Form

Yes, please send me The Fluoride, Teeth and the Atomic Bomb book. Enclosed is Twenty-Five ($25) Dollars postpaid
in Cash or Money Order Only (with the "PAY TO" or "Pay To The Order Of" line left blank).

Please send my order to:

Name: ______________________________________________________

Mailing location: _______________________________________________

City: _____________________________ State: ______________________

Postal number: _________________

Print out this form, fill it out and send it, with enclosed payment
($25) in cash or money order only to:

The American Voice
c/o 6500 Shadow-Glen
Eagle-Point, Oregon.
97524

Thank-you for your order.