Please print out this form and mail it to:
Volunteers in Medicine
162 St. Paul Street
Burlington, VT 05401
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___________________________________________________ Name
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___________________________________________________ Title
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___________________________________________________ Organization
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___________________________________________________ Address
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___________________________________________________ City, State and Zip Code
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___________________________________________________ Phone
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___________________________________________________ Email Address
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The price of each book is $10.00 per copy.
Shipping and handling is based on the quantity of books purchased:
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