Washington State Public Health Association
4617 - 144th Place SE
Snohomish, WA  98296-6916
Phone: (425) 337-5717    Fax: (425) 357-9694
email: kathy@wspha.org


If you are paying by check or purchase order complete and print this form then mail to the address above.  Merchandise will be shipped once your check has been received.  Purchase order payments will be invoiced for payment. Credit card orders can be made on-line by clicking here.

Date:
Description Quanity Price Total
Opening Doors: Public Health Nursing in it's 100th Year
$ 150
$
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$
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$
DVD Format VHS Format
Money order or check enclosed.
Please invoice.
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Merchandise will be mailed when check is received.
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