Introduction to Human Genetics Curricular DVD and Teachers Guide

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Introduction to Human Genetics: Curricular DVD and Teacher’s Guide Placing an Order Please provide the following information: Teacher’s Name:___________________________________________________________ School Name______________________________________________________________ Address: _________________________________________________________________ City: State: Zip: E-mail: _____________________ Phone: ____________ Fax: ___________ --------------------------------------------------------------------------------------------------------------------For teachers in Texas, the cost of distribution (one per teacher) is underwritten by the Dorothy E. King Summer Education Fund and the material is available free of charge. Please return this order form by mail (address below), fax to 713-792-0800 or email to: smadigan@mdanderson.org For individuals outside Texas, it is necessary to charge a cost-recovery price of $15.00 per module, shipping and handling included, and this order must be mailed in with payment included. Total out-of-state order _______ x $15.00 = ________ Check, money order, or purchase order should be made payable to: M. D. Anderson Cancer Center Mail to: (unit number MUST be included): The University of Texas M. D. Anderson Cancer Center Science Teacher Workshop Program – Unit 240 1515 Holcombe Blvd. Houston, TX 77030-4009 For further information, please contact: Susan Madigan Phone: (713) 792-1606 E-mail:smadigan@mdanderson.org

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