ASTHMA & ALLERGY FOUNDATION OF AMERICA
e-mail: aafane@aafane.org • website: www.asthmaandallergies.org
NEW ENGLAND CHAPTER
Order Form
The publications below have been developed by the New England Chapter, except for the book which is available through our chapter at a discount. One copy of each of the items below (except for the book and CD) can be provided free.
Items that are ordered in bulk are 10¢ per copy, plus shipping and handling (unless they are marked free).
# of copies Title List as of 1/12/2005
_____ Allergy Basics: Living Well with Allergies # English ____ # Vietnamese ____
_____ Asthma Basics: Living Well with Asthma
# English ___ # Spanish ___ # Portuguese ____ # Haitian-Kreyol ____ # Vietnamese ____
_____ Control Your Asthma & Allergy Triggers # English ____ # Haitian _____
_____ Resource list/catalog of education programs and materials available for AAFA (free)
_____ List of asthma and allergy supply companies (toll-free numbers) (free)
_____ “Asthma-Friendly Child Care” Checklist # English ___ # Spanish ___ # Portuguese ___ # Haitian ___
Materials on asthma and smoking:
_____ Tobacco Smoke…It’s no Joke! For kids with asthma and allergies
# English ___ # Portuguese ___ # Haitian ___ # Vietnamese ___ # Khmer ___
_____ Tobacco Smoke…It takes our breath away!
# English ___ # Spanish ___ # Portuguese ___ # Haitian ___ # Khmer ___ # Vietnamese ___
_____ “To the Manager: I support smoke-free environments” (restaurant note forms) (free)
________TOTAL QUANTITY ORDERED (multiply by 10¢ = total amount) $________
Books
“Asthma – An Emerging Epidemic” by Paul J. Hannaway, M.D. – 395 page paperback. AAFA discount price $20.00, including shipping and handling (reg. $24.95).
# ____ Book(s) @ $20 each $________
“Managing Life-Threatening Food Allergies in Schools.” A Power Point® presentation, on a CD, based on Mass. D.O.E. guidelines for training school staff. $25 plus $2.00 shipping and handling: Total $27.00
# ____ CD(s) @ $27 each $________
“Basics” brochures, plus 50 copies of each issue of the newsletter) $________
Please send a check payable to AAFA/New England, along with this order form – or call to charge on your MasterCard or Visa.
NAME: _______________________________________________ TEL. _________________
Mailing Address: _______________________________________________________________
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