Southern California Cancer Pain Initiative

  c/o City of Hope
  1500 E. Duarte Road · Duarte, CA 91010-3000
  626.256.4673 x 63840
 sccpi@coh.org     http://sccpi.coh.org/

 2009 Adobe Version of Pocket Card

EQUIANALGESIC POCKET REFERENCE CARD ORDER FORM

            QUANTITY

    DESCRIPTION
   Laminated Equianalgesic Pocket Reference Card
   The Pocket Cards are Sold Only in Bulks of 25 @ $1.00 per card
 

   Total Amount      FREE SHIPPING                                                                                               

 
   SHIPPING DATE
 Name  
Facility   SCCPI Tax ID # 95-4482665

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                Please mail order form to SCCPI.  We do not accept credit cards at this time.
 

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