Institute on Rehabilitation Issues - 27th IRI Publication: "Effective Strategies for
Improving Employment Outcomes for People with Chronic Kidney Disease"

  Special Sale ORDER FORM

Please print and complete ORDER FORM then mail or fax to 501-624-6250. Purchases by check, credit card or agency Purchase Order. 

Name:__________________________________________________________________

Name of Organization:__________________________________________________________

 Address: ______________________________________________________________

 Phone: _________________Contact Person:_______________________

(Regular Price: $15.00 each)

Special Sale Prices

$7.00 ea   -   3 copies for $15.00   -   5 copies for $25.00 plus shipping

(Note: Special bulk rates of 20 + copies will be available upon request at a discounted price. Contact the Region 6 RCEP at the address/phone/email below for discounted shipping rates.)

# Copies Ordered:__________ Total Due:__________

Purchase Order (PO) or Check Number :____________________________

Credit Card #:_____________________Expiration Date:_______________

Signature:___________________________________________

University of Arkansas EIN Tax ID #71-6003252    

Make checks payable to: University of Arkansas - RRCEP

Address

University of Arkansas - RRCEP

Region 6  - Rehabilitation Continuing Education Center

P.O. Box 1358, 105 Reserve, Bldg. #35

Hot Springs, AR 71902

Voice (501) 623-7700 - FAX (501) 624-6250 - TDD (501) 624-0079

Link back to Region 6 RCEP Publications

Link to Region 6 RCEP Home Page Site Map

End of Order Form