SUBSCRIPTION FORM

"TALKING IT OVER"

A Transplant Recipient Communication

NAME: ____________________________________________________

ADDRESS: ___________________________

TOWN/STATE/ZIP ______________________________________________

YEARLY SUBSCRIPTION FEE: $12.00
THE TRANSPLANT DIRECTORY: $6.00
ONE-YEAR SET OF BACK ISSUES: $8.00 PER SET

SUBSCRIBER STATEMENT: You have my permission to ANONYMOUSLY print my letters in this publication. -
YES _____ NO_____

Please send your check or money order for six issues per year to: Constance L. Kelley, Transplant Recipient Communications, P. O. Box 134, Ashland, MA 01721.

I can't take orders or send out subscriptions to "Talking It Over" via Internet e-mail. PLEASE DOWNLOAD, PRINT, FILL OUT AND MAIL THE FORM ABOVE WITH YOUR CHECK OR MONEY ORDER.

To submit anonymous letters for publication, please indicate only the state you are from and whether you are male or female and send via regular postal mail or to the following e-mail address:

TRCTalking@aol.com

PLEASE NOTE: Time does not permit me to respond to e-mail correspondence, but I would be happy to publish subscribers' anonymous comments .

Thank you very much.

 

 

 


 


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Last modified: 11 May 2000