Mail Order Form

Please make checks payable in U.S. dollars to Fibromyalgia Treatment Center, Inc. We are sorry we cannot accept credit cards or CODs. Please double-check your order. Orders with incomplete information or incorrect totals will not be filled. They will be returned to you for correction. Complete this form, print it, and mail it with your check to:
Fibromyalgia Treatment Center, Inc.
P.O. Box 64339
Los Angeles, CA 90064

Name:
Address:
City:
State/Province
Zip Code
Country:
Daytime Phone:
Email:

Item Quantity Total
• Mila + Hambone - "Why is Mommy Staying In Bed Again Today?"     $8.95
• Mila + Hambone - "Why Can't Sharon Come Out and Play?"     $8.95
NEW AND REVISED-What Your Doctor May NOT Tell You About Fibromyalgia     $14.95 
• What Your Doctor May NotTell You About Fibromyalgia Fatigue     $14.95
• What Your Doctor May NOT Tell You About Pediatric Fibromyalgia     $13.95
• The First Year--Fibromyalgia: An Essential Guide for the Newly Diagnosed     $15.95
• The Guaifenesin Protocol Lecture and Mapping Videotape     $20.00
• The Guaifenesin Protocol Lecture and Mapping DVD     $20.00
• The Guaifenesin Protocol Mapping Demo Videotape, U.S. vhs format only    $10.00
• The Hypoglycemia Diet Refrigerator Magnet     $5.00
• Symptom Journal    $14.95
• Fibromyalgia Awareness Bracelet    $3.00 each or 4 for $10.00
• Fibro Queen T-shirt   $10.00  (small, medium, large, x-large, 2x, 3x)
• Fibro Queen Tote Bag (red or blue handle)    $8.00
Fibromyalgia Treatment Forum Newsletter     $32.00
SUBTOTAL
Select appropriate Shipping and Handling charge
SUBTOTAL
California residents add 8.25% sales tax
TOTAL
If you have any questions or problems please contact (310) 577-7510.
Please allow 3-4 weeks for delivery. Thank you for supporting the Fibromyalgia Treatment Center research fund.
Print This Page