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Training Materials Order Form

 

 
 

 

ORDER FORM
Quantity Title Price
  A Series of Training Modules for Informal Caregivers $30.00
  A Time of Nurturing: A Facilitator's Manual for Caregiver Support and Education Groups & A Guide Book for Family Caregivers 16.00
  Interpersonal Effectiveness with the Elderly
     (Modules I-V)
20.00
       (Modules VI) Confusion in the Elderly 10.00
       (Modules VII) Depression in the Elderly 10.00
  More Than A Statistic: A Educational Program for Older Adults on Avoiding Criminal Victimization 6.50
  More Than A Statistic: A Training Program on Working with the Elderly for Police Officers 9.50
  Alzheimer's Disease: Pieces of the Puzzle (Manual & 5 videos) 200.00
  Embracing the Rainbow (Manual & 1 video)
___Anglo   ___Hispanic/Latino   ___ Native American
90.00
  Embracing the Rainbow (Additional videos)
___Anglo   ___Hispanic/Latino   ___ Native American
35.00
each 
 

Total Due

 

Customer Information
(Please Print)

Name: ________________________________
Organization: ________________________________
Shipping Address: ________________________________
________________________________
City/State/Zip: ________________________________
Day Phone: _______________
Date: _______________
Purchase Order No.: ________________________________
Signature: ________________________________

 

Please print this form and return it to:
Arizona Center on Aging, 1807 East Elm Street, Tucson, Arizona,85719-4324

If you have questions you can call or e-mail us at:
Phone: 520-626-5800; FAX: 520-626-5811

e-mail: mcginnis@aging.arizona.edu

Please include check made payable to University of Arizona or include purchase order number and authorized signature on this form.

Prices include shipping and handling.

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