Sleepwatchers Order Form

The

Sleepwatchers

by William C. Dement, M.D., Ph.D.

Thank you for your interest in sleep disorders. We appreciate and depend on your support to carry out our mission to promote sleep disorders awareness and education. Donations are to be made to the Sleep Disorders Foundation.

A donation of $10.00 or more receives a complimentary copy of The Sleepwatchers by William C. Dement, MD, PhD.

$10 _____ $15 _____ $20 _____ $25 _____ $30 _____ $50 _____

To have your copy of The Sleepwatchers sent to you, please enclose a check or money order ($10.00 or more) payable to Sleep Disorders Foundation. Send your donation to:

Sleep Disorders Foundation, Inc. P. O. Box 912 Menlo Park, CA 94026-0912

Please provide the address where your complimentary copy of The Sleepwatchers is to be sent.

Name:____________________________________

Address:__________________________________

City:______________ State:_ Zip:_____

For more information contact Sleep Disorders Foundation at (650) 723-8134.

The

Sleepwatchers

by William C. Dement, M.D., Ph.D.

Name:____________________________________

Address:__________________________________

City:________________ State:_____ Zip:_______

City:______________ State:_ Zip:_____