ORDER FORM:
THE CD-ROM BOOK

Entitled " Gender-Specific Medicine"

Or by MAIL to:
US Doctor Resources, LLC
29355 Northwestern Highway
Suite 120
Southfield, MI 48034

SHIP TO:

NAME	_______________________________________
Address1
Address2
City/State/Zip ____________

BILL TO: (as it appears on credit card)

NAME	_______________________________________
CREDIT CARD:	VISA        MASTERCARD             DISCOVER
CREDIT CARD NUMBERS	__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Expiration Date:	____ ____

$49.99

Will be Billed to Your Account.

This $49.99 for the CD-ROM
including all ten Audi-visual Lectures
and COMPLETE WEBSITE!

Shipping and Handling included.

EXPECT DELIVERY WITHIN 2- 4 WEEKS.
If there are any questions, contact Ann at (248)358-4357.

---

Installed: January 16, 2000
Updated: January 1, 2001