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Please print out this form and send it to:

Toby Marotta, Ph.D.
Green Cleaning Institute
Silverbell Station
Box 87172
Tucson, Arizona 85754-7172

Please send ______ copies of AIDS-PREVENTING SEXUAL HYGIENE at $20.00 a copy pre-paid (cash, check, or money order) to the following address:

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All proceeds from the sale of this 67-page, self-published, paperbound book support the ongoing work of the Green Cleaning Institute. The author is eager for feedback that can be used to improve updates of this manuscript. With officials of not-for-profit agencies he will discuss arrangements for bulk sales and adaptations of the text.