Order Form

Shallow Dive: Essays on the Craft of Manual Care

Please print and fill out off-line.

Make checks payable to Barrett L. Dorko P.T. and mail to:

: Barrett L. Dorko, P.T.
503 Portage Trail
Cuyahoga Falls, Ohio 44221

Please send the following:

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copies of Shallow Dive @ $30.00 per copy (Please indicate if you would like the book inscribed to you or someone else and give me the name, otherwise it will just be signed)

Please add $3.50 shipping and handling for each copy ($33.50 per copy)
International Sales - $36.00 US postpaid

Amount enclosed:	___________________________________
Your name:	___________________________________
Address:	___________________________________
City/State/Zip:	___________________________________
Phone:	___________________________________