Order Form

EDUCATING FOR FOOD ALLERGIES, LLC

Knowledge + Support = Success

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Order Form

Educating For Food Allergies, LLC

80 Washington Street, Building O-53                                       Norwell, MA. 02061
Tel.:(781) 982-7029    Fax.: (781) 982-7037                             Email: foodallergyed@verizon.net
Website: www.foodallergyed.com

ITEM                   PRICE       QUANTITY    TOTAL

Form: IHP Packet (1set)(family)	$5.00
Form: IHP Packet (5sets)(school)	$20.00
Form: Emergency Treatment Plan	$2.00
Booklet: GOING TO SCHOOL WITH FOOD ALLERGIES	$5.00
Article: “The Emotional Impact of Food Allergies”	$3.00
Document: Individual Healthcare Plan vs. 504 Plan	$2.00
Document: Section 504 vs. The Individuals with Disabilities Education Act	$2.00
Document: Schools, Food Allergies and the Laws	$2.00
Document: Food-Free Birthday Celebrations!!!	$2.00
		SubTotal:
		Shipping and Handling:
		TOTAL:

*Shipping and Handling Charges:Add $1.50 for order total of $5 - $10

                                                  Add $3.00 for order total of $15-$25
                                                  Add $5.00 for order total over $25.00
                                                  (Price includes 5% sales tax)
Send to:Name:____________________________________________
Address:__________________________________________________
City, State, Zip:____________________________________________
Tel. #: (        )_____________________________________________
Make checks payable to: EFFA