Brochure Order Form

Please complete the information below to receive the CHT brochures or the Orthotics brochures.

The fee is $10.00 USD per 25 brochures payable by credit card or invoice.

Shipping and handling will be added to all orders (starting at $7.50).
Rush orders or orders greater than 50 brochures will be charged an additional shipping fee.

International Orders - please use the Invoice option so shipping and handling can be calculated per order.

Brochure
Brochure Type
Order Information
Quantity:
(Cost: $10 per 25 brochures + S/H)

Shipping / Mailing Information

First Name
Middle Name
Last Name
Address 1
Address 2
City
Zip Code
Country
State
International Provinces/Territories

If there are questions about your order, how should we contact you?

Phone
Suggested format xxx-xxx-xxxx
Fax
E-mail
Payment Method
select