Medication leaflets: Order form

Medication
group
Name of
medication
Price
each
Qty
Subtotal
Antimuscarnics Procyclidine . £1.00 .
Orphenadrine . £1.00 .
Atypical
antipsychotics
Olanzapine . £1.00 .
Atypical
antipsychotics
Risperidone . £1.00 .
Carbamazepine . £1.00 .
Tricyclic
antidepressants
Amtriptyline. . £1.00 .
Clomipramine . £1.00 .
Lofepramine . £1.00 .
Typical
antidepressants
Fluoxetine . £1.00 .
Paroxetine . £1.00 .
Sertraline . £1.00 .
Typical
antipsychotics 1
Sulpride . £1.00 .
Trifluoperazine . £1.00 .
Typical
antipsychotics 2
Chlorpromazine . £1.00 .
Haloperidol . £1.00 .
Full set: one each of all 15 leaflets
(inc. p&p)
. £14.00 .
Postage and packing (1 leaflet = 20p, 2-5 leaflets = 33p, 6-10 leaflets = 54p,11-20 leaflets = 76p, 31-40 leaflets = £1.14, 41-50 leaflets = £1.30)
. . .
Total
.


Delivery Address

Order Reference


Name


Job title


Organisation


Address




Tel


Fax



Invoice Address if different from delivery:

Name


Organisation


Address




Tel


Fax


Date order sent



Some Access to Health leaflets are free to individuals with a learning difficulty (contact Jo Holoway for details).

Please print form and send with a cheque or postal order made payable to The Elfrida Society. Or send an invoice request to:

Publications Dept.
The Elfrida Society
Tom Blyth Centre
34 Islington Park Street
London N1 1PX

Tel: 020 7359 7443
Fax: 020 7704 1358
e-mail: elfrida@elfrida.com