Hacienda Publishing, Inc.
P.O. Box 13648, Macon, Georgia 31208-3648, USA
478.757.9873 (Phone), 478.757.9725 (FAX)

Order Form

Name:
Address:
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Phone: Fax:
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Purchase Order Number, otherwise leave blank:

Books	Price	Quantity	Amount
Vandals at the Gates of Medicine by Miguel A. Faria, Jr., M.D.	$41.95
Cuba in Revolution---Escape From a Lost Paradise by Miguel A. Faria, Jr., M.D.	$26.95
Your Doctor Is Not In by Jane M. Orient, M.D.	$23.00
Medical Warrior by Miguel A. Faria, Jr., M.D.	$23.95
Sutton's Law by Jane M. Orient, M.D. and Linda J. Wright	$21.95
Shipping and Handling for books only	$3.00	1	$3.00
Subtotal for books
Periodicals	Price	Quantity	Amount
Medical Sentinel - Yearly Subscription	$45.00
Medical Sentinel - Individual Issues (Check box to order)	$7.50
Winter 2001 Spring 2001 Summer 2001Fall 2001
July/Aug 2000 Sept/Oct 2000 Nov/Dec 2000
Jan/Feb 2000 March/April 2000 May/June 2000
July/Aug 1999 Sept/Oct 1999 Nov/Dec 1999
Jan/Feb 1999 March/April 1999 May/June 1999
July/Aug 1998 Sept/Oct 1998 Nov/Dec 1998
Jan/Feb 1998 March/April 1998 May/June 1998
Winter 1997 Spring 1997 Summer 1997 Fall 1997
Spring 1996 Summer 1996Fall 1996
Subtotal for periodicals
Subtotal for books
Total Order

Method of Payment:Check (Enclosed) Money Order (Enclosed) or bill my:
Visa MastercardAmerican Express Discover

Credit Card Number: Exp Date

Signature: ________________________________________________________________

Special Shipping/Mailing Instructions

How To Submit:
1. Print your order form,
2. Add signature if ordering by credit card,
3. FAX it to us at: 1-478-757-9725

or