Order Form

Enzymes for Autism and
other Neurological Conditions

Payment by check, money order, or cashiers check.
U S shipping addresses only.

Price $19.95 + $5.00 shipping and handling via Express Mail

Name: __________________________________________ Phone*: __________________________
Zip Code:
E-mail address*: ____________________________________________________________________
* Not required but we will use it to contact you if we have a question with your order.

Mail order form with payment to:

Karen DeFelice
Enzymes for Autism Book
5720 Wentworth Drive
Johnston, IA 50131

All customer information will be kept very confidential and will not be shared with any other entity. Order will be processed after check clears at bank. We will send an e-mail confirming shipment if you include your e-mail address on the form.

Volume orders, questions, concerns, and comments can be addressed to the author:

515-276-7167 (phone)