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Master Muscle List CD-ROM Order Form

Instructions:

Print out and read the license agreement, retaining a copy for your records. Print out this page and fill in all information completely. Retain a copy of the completed order form for your records. Please note that placing an order implies acceptance of the license agreement. Attach a check or money order for the appropriate amount made payable to Stritch School of Medicine - LUMEN Project. Mail the completed form and check to:

Loyola University Stritch School of Medicine
Attn: Amy Hoyt
2160 S. First Avenue
Building 120 Room 300
Maywood, IL 60153

Questions may be directed to Amy Hoyt via e-mail at: CallLab@lumc.edu

Order Form:


  Name: _________________________________________________
  Shipping  _____________________________________________
  Address:
            _____________________________________________
            _____________________________________________
            _____________________________________________
  E-mail (optional):  ___________________________________    

 
___ Please check here if you are a student in the health sciences


  Number of copies of CD-ROM x $10.00 each ..... $ ______
  Shipping and Handling (US Priority Mail)...... $   5.00
  Sales tax (CA and IL residents add $0.76/CD... $ ______

  Total cost.................................... $ ______

Make check payable to Stritch School of Medicine - LUMEN Project.
Please do not send cash.