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If you do not see blue navigation buttons above, you can go to the search page for text links.

Use this form to request information and materials If you have any concerns about information requested by this form, read our Privacy Statement (We do not give, sell or rent any of the information you provide us to anyone else)

Please provide the following information (items marked with * are required):

*Street address
Address (cont.)
*State/Province (Please use 2 digit code for US states)
Zip/Postal code
  **note if non-USA Country (leave blank if USA)
Home Phone
Your web site URL

How did you hear about us?

(Feel free to request materials for a friend by using this form to submit their information. If you would like to request several copies to distribute at a support group meeting or a conference, please e-mail us with details -

*Please note that requests will be grouped together and sent via bulk mail to reduce our postage costs. We generally do no more than 1 bulk mailing per month and it can take the Post Office several weeks to process a bulk mailing. This means it can take at least a month for delivery of your free materials and it may take up to 3 months or more.

If you would like to speed up the process, send your request with $1.00 and you will receive immediate processing and delivery by first class mail.  Address info

** Please note that requests for delivery outside of the USA must include $1.00 in US funds. We depend on the reduced postage rates of bulk mail when we send free catalogs. We cannot use bulk mail outside of the USA and must charge this fee to cover our extra expense.

Please only click the submit button once and wait for a confirmation page. If you do not see the confirmation page after about a minute, then try again.

Select this to erase all the information you have typed and start over.


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