National TSA Publications and Videos can be obtained at http://www.tsa-usa.org/scstore/index.html

"It's Not Just the Tics..." BOOKLET ORDER FORM

Now available in English and Spanish

__________  copies of “It’s Not Just the Tics:  Learning and Behavioral Issues with Tourette Syndrome”.

__________  copies of “No Son Solamente Los Tics”.

Enclosed is a check for $__________.

($3.00 for each copy covers the cost of printing and mailing.  $2.50 each if ordering more than 200 copies)

Make checks payable to:  “Neurodevelopmental T-611 Account”.

Please mail the booklets to me at:

Name:_____________________________________________

Street:_____________________________________________

City:______________________________________________

State:_________________               Zip:__________________

Send this form, along with your payment to:

      Michele DeCristofaro, NA

      Neurodevelopmental Center

      Memorial Hospital Of Rhode Island

      555 Prospect Street

      Pawtucket , RI   02860