Citizens for Better Care Web Order Form
Item
Price
Qty.

Total

Michigan Long Term Care Companion MLTCC $25.00    
Elder Abuse, What is is, What to do
#B02
$3.00
   
Long-Term Care, What it is and How to find it
#B04
$0.50
   
How to Choose a Nursing Home
#B05
$3.00
   
Your Rights as a Nursing Home Resident
#B06
$3.00
   
Authority to Act for Others: Guardianship and Other Options
#B10
$3.00
   
Selecting Dementia Care Programs in Long-Term Care Facilities
#B11
$3.00
   
Guide to Admission Procedures and Contracts in Michigan Nursing Homes
#B12
$3.00
   
Medicaid Nursing Home Eligibility for Residents Without a Spouse at Home
#B13
$2.00
   
Medicaid Nursing Home Eligibility for Residents With a Spouse at Home
#B14
$3.00
   
Medicare Benefits for Nursing Home Care: What They Are and How to Get Them
#B16
$2.00
   
When Abuse Occurs in Adult Foster Care Homes
#B22
$3.00
   
When Abuse Occurs in Nursing Homes
#B23
$3.00
   
When Abuse Occurs in Homes for the Aged
#B24
$3.00
   
Nursing Home Inspection Process Can Work for You
#B25
$3.00
   
If it's not a Nursing Home: Adult Foster Care, Home for the Aged, & Assisted Living Facilities
#B26
$3.00
   
SUBTOTAL
 
Sales Tax           Michigan Residents Add 6%
 
SHIPPING     under $4.99.....add $1.00                       $15.00 - $40.00.....add $3.00
                             $5.00 - $14.99.....add $2.50          over $40.00...........add $3.50
 
Booklet Volume Discounts:
For 50- 99 of same booklet deduct 10%
For 100 or more of same booklet deduct 20%
 
TOTAL ENCLOSED
 
Name: _____________________________________________
Address: _____________________________________________
City: _________________________ State: ______ Zip: _________
Payment Type: ( ) Check or Money Order ( ) Visa ( ) MasterCard
Credit Card #: ______________________________Exp. Date: ______ / ______
Signature: ____________________________________________
Credit Card Orders: Call (313) 832-6387 or fax to (313) 832-7407.
Mail to: Citizens for Better Care Publications, 4750 Woodward, Suite 410, Detroit, MI 48201-1308