BOOK ORDER FORM Print this Order Form and use one of the following methods for ordering: Phone Your Order Mail Your Order ------------------- ------------------- To order Micronite Inc. call toll-free 7262 Lyne Bay Drive (800) 936-ERGO Roseville, CA 95054 ------------------- ------------------- ORDERED BY (Please print or type): SHIP TO (Please print or type): -------------------------------------- -------------------------------------- Name Name -------------------------------------- --------------------------------------- Company Company -------------------------------------- --------------------------------------- Address Address -------------------------------------- --------------------------------------- City State Zip City State Zip -------------------------------------- --------------------------------------- Daytime Phone Daytime Phone -------------------------------------- --------------------------------------- ISBN # Qty Title Unit Cost Total ---------- --- ---------------------------------------------- --------- ------- 0471595330 ___ Repetitive Strain Injury: A Computer User's Gd $17.95 1565657918 ___ The RSI Sourcebook $30.00 0879838027 ___ Repetitive Strain Injuries: Alternative... $14.95 0882681621 ___ Total Health at the Computer $13.95 1883319501 ___ Carpal Tunnel Syndrome and RSI $14.95 1572240393 ___ Conquering Carpal Tunnel Syndrome $18.95 1878069357 ___ Carpal Tunnel Syndrome: Prevention & Treatment $16.95 0879836091 ___ The Natural Treatment of Carpal Tunnel Syndrome $ 3.95 0395500893 ___ Sitting on the Job $15.00 1566090210 ___ ZAP! $12.95 020188366X ___ 25 Steps to Safe Computing $ 5.95 1570280118 ___ Your Injury $14.95 002093081X ___ Ergonomic Living $18.00 0748406654 ___ Fitting the Task to the Human $53.95 0748407286 ___ A Guide to Manual Materials Handling $53.95 0748408258 ___ Ergonomics for Beginners $22.95 0850663504 ___ Ergonomics in Computerized Offices $54.95 0850664055 ___ Cumulative Trauma Disorders $59.95 0850668581 ___ Fitness for Work $59.95 ---------- --- ---------------------------------------------- --------- ------- Subtotal ------- Shipping/Handling (Within US - Standard: $4.00, $1.50 addtl. book) ------- Sales Tax (CA only) ------- GRAND TOTAL ======= Method of Payment: ------------------------------------------------------------------------------- o US bank check or money order payable to Micronite Inc. Please charge my: o VISA o MasterCard Card #: ____________________________________ Exp. Date: ________ Signature: ______________________________________________________ -------------------------------------------------------------------------------