NJN
Health Videos Order Form
Credit Card
Orders:
Print and Complete this form and
- FAX to 1-609-633-2921
- mail to NJN
Public Television, PO Box 777, Trenton NJ 08625-0777
- call NJN Video
at 609-777-5093
Check Orders:
Complete and Mail this form with your check to:
NJN Public
Television, PO Box 777, Trenton NJ 08625-0777.
Ordered by:
Name: ____________________________________
Organization:
_______________________________
Address: __________________________________
City/State/Zip:
______________________________
Phone (inc. area
code): _______________________
Ship to:
Name: ____________________________________
Organization:
_______________________________
Address: __________________________________
City/State/Zip:
______________________________
We would be happy
to enclose a hand-written gift card with your message:
___________________________________________________
___________________________________________________
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Quantity
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Total
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Yoo
Hoo
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NYHQ-0001T
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Yoo Hoo
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$10.95
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Great
American Eating Machine
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NGAE-0000
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Great American
Eating Machine Series
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$39.95
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NGAE-0101T
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Why Do We
Eat?
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$10.95
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NGAE-0102T
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Where Does
Food Come From?
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$10.95
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NGAE-0103T
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What's Good
for Me?
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$10.95
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NGAE-0104T
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What's A
Balanced Diet?
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$19.95
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Another
View
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PAVW-0807T
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Boarder Babies
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$19.95
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PAVW-0821T
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Diabetes
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$19.95
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PAVW-0904T
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Drug Mothers
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$19.95
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PAVW-0823T
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Sickle Cell
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$19.95
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PAVW-0908T
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Teens and
Aids
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$19.95
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Target
New Jersey
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ATNJ-0202T
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AIDS: The
Women Speak
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$19.95
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ATNJ-0406S
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Community
Crackdown
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$24.95
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ATNJ-0602T
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Dying to
Make A Living
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$19.95
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ATNJ-0504T
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Living Map,
The
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$19.95
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ATNJ-0403S
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Lyme Disease:
In Our Own Back Yard
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$24.95
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ATNJ-0401S
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Mission from
the Heart
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$24.95
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ATNJ-0203S
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Myths of
Aging
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$24.95
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ATNJ-0501T
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Return to
Tblisi
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$19.95
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HealthCall
with Karen Hasby
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PHCL-0206T
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AIDS and
Kids
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$19.95
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PHCL-0124T
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Allergies
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$19.95
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PHCL-0216T
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Anti-Smoking
and Teens
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$19.95
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PHCL-0219T
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Asthma
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$19.95
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PHCL-0213T
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Attention
Deficit Disorder
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$19.95
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PHCL-0119T
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Back Pain
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$19.95
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PHCL-0118T
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Birth Control
Options
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$19.95
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PHCL-0202T
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Brain Attack
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$19.95
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PHCL-0217T
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Changing
Faces of AIDS, The
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$19.95
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PHCL-0207T
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Choices And
Answers
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$19.95
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PHCL-0108T
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Chronic Headaches
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$19.95
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PHCL-0220T
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Dying with
Dignity
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$19.95
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PHCL-0117T
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Eating Disorders
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$19.95
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PHCL-0107T
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Elder Care
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$19.95
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PHCL-0214T
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Eye Health
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$19.95
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PHCL-0110T
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Gender and
Alcohol
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$19.95
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PHCL-0201T
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Genetic Testing
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$19.95
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PHCL-0126T
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Healthy Travel
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$19.95
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PHCL-0210T
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Heart Healthy
Kids
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$19.95
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PHCL-0221T
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Holistic
Medicine
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$19.95
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PHCL-0203T
|
Long Term
Care for the Elderly
|
$19.95
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PHCL-0212T
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Looking Good
After Breast Cancer
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$19.95
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PHCL-0218T
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Managed Care
|
$19.95
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PHCL-0109T
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Medically
Underserved
|
$19.95
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PHCL-0120T
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Menopause
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$19.95
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PHCL-0112T
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Nutrition
|
$19.95
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PHCL-0114T
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Occupational
Health
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$19.95
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PHCL-0211T
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Panic Disorder
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$19.95
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PHCL-0116T
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Physical
Conditioning
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$19.95
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PHCL-0209T
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Plastic Surgery
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$19.95
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PHCL-0123T
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Post Partum
Depression
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$19.95
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PHCL-0111T
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Seasonal
Depression
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$19.95
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PHCL-0115T
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Sickle Cell
Anemia
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$19.95
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PHCL-0106T
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Sleep Disorders
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$19.95
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PHCL-0121T
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Smoking:
Why You Should Stop
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$19.95
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PHCL-0103T
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Stress Management
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$19.95
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PHCL-0208T
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Strong Medicine,
Stronger Germs
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$19.95
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PHCL-0215T
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Teen Suicide
& Teen Violence
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$19.95
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PHCL-0125T
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Vitamins
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$19.95
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PCHL-0204T
|
Winning the
Losing Battle
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$19.95
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PHCL-0105T
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Women and
Heart Disease
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$19.95
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Salesperson
|
NJ
customers add 6% sales tax |
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Invoice
No.
|
Shipping
& Handling |
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Date Received
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Date Mailed
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GRAND
TOTAL
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Shipping and
Handling:
First
video, add $3.50
For each additional video add $.50
Shipping and handling waived for orders of 10 or more videos
International orders will be charged the current express
Mail International Service Rates
Method of
Payment:
Check enclosed:
Yes / No (circle one).
Make checks payable to NJN Public Television. U.S. ONLY!
Credit Card:
(circle one) Visa, MasterCard, Discover, American Express
Credit Card
#: __________________________
Expiration
Date: _________________________
Signature:
______________________________
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