ORDER FORM ---------------------------------------- Audio CDs of the CSMMH/UB Medical School Conference "Curing the Ills of Alternative Medicine and Questionable Mental Health Practices" Morning Session (3 CDs) -- Number of sets ordering ( ) at $32.97 per set Speakers: Introduction: Paul Kurtz, Ph.D. Wallace Sampson, M.D. Steve Novella, M.D. Timothy Gorski, M.D. Kimball C. Atwood IV, M.D. Luncheon Talk (1 CD) -- Number of disks ordering ( ) at $10.99 per CD Speaker: David Triggle, Ph.D. "Medicines for the Masses: Myths, Magic and Morals" Afternoon Session (4 CDs) -- Number of sets ordering ( ) at $43.96 per set Speakers: Scott Lilienfeld, Ph.D. Timothy Moore, Ph.D. Brandon Gaudiano, Ph.D. James Alcock, Ph.D. James Herbert, Ph.D. Shipping and Handling Included Or order the complete conference at an almost 15% discount for $75.00 Payment ( ) Check / Money Order payable to Center for Inquiry Charge to ( ) AmEx ( ) Visa ( ) MC First Name _________________________________ Last Name __________________________________ Address ____________________________________ City _______________________________________ State/Province _____________________________ Zip/Postal Code ____________ Phone ______________________ Account # __________________________________ Expiration Date ___________ Signature (for credit card orders) ___________________________________________________________________ If using credit card: Name on card ___________________________________________________________________ Mail to: Center for Inquiry PO Box 741 Amherst, NY 14226 or fax: (716) 636-1733 ---------------------------------------- Web Site: http://www.csmmh.org E-mail: askolnick@centerforinquiry.net