Alzheimer's Disease -The Dignity Within: A Handbook for Families $16.95: Quantity_________ Alzheimer's Disease - 300 Tips for Making Life Easier $16.95: Quantity_________ First Name:______________________________ Last Name:______________________________________ RESIDENCE: Address:_________________________________ City:___________________________________________ State:___________________________________ Zip Code:_______________________________________ CONTACT INFORMATION: Phone:______________________ Cell:________________________Email:__________________________ PAYMENT: Check:__________Money Order:__________ Please add $3.00 for the first book and $1.00 for each additional copy for shipping and handling. Make all checks payable to: CaringConcepts, Inc. Payments must be made in U.S. dollars drawn on a U.S. bank. SEND TO: CaringConcepts, Inc. 920 South 206 Ave. Elkhorn, NE 68022 QUESTIONS? CONTACT US AT: Phone: 402.289.4506 Fax: 402.289.0749