TRI Order Form

Please print/complete this form and return with payment:

Touch Research Institute
Dept. of Pediatrics (D820)
University of Miami School of Medicine
P.O. Box 016820
Miami, FL 33101

  Name

 Institution

 Street

 City

 State

 Zip Code

 Country

 Phone

 Fax

I am interested in the following at $20 each (in U.S. dollars):

Touchpoints ___1 year newsletter subscription	Videos ___TRI Data Video I ___TRI Data Video II ___TRI Data Video III  ___Preterm/Infant Massage  ___Research Protocol Massages Video  ___Carpal Tunnel Syndrome  ___Ear Massage  ___Migraine Massage ___Lower Back Massage
Books ___Advances in Touch ___Many Facets of Touch ___Touch and Massage in Early Child Development
Packages ___Recent press articles (4) (please specify)
Tapes ___TRI Data Review  Audio I ___TRI Data Review Audio II

Check (or money order) Total ___________