MOTION PALPATION & CHIROPRACTIC TECHNIQUE
Leonard J. Faye, D.C.

ORDER FORM



Name: _________________________________________
 
Address: _________________________________________
 
Address 2: _________________________________________
 
City: _________________________________________
 
State: _________________________________________
 
Zip Code: _________________________________________
 
Phone: _________________________________________
 
Email: _________________________________________
 
Please fill out this form and mail to:
Motion Palpation Institute
455 Delta Ave., Suite 1
Cincinnati, OH 45226



Make your check or money order payable to:
Motion Palpation Institute

Prices:
$65 for one  /  $50 for 10 or more (US and Canada)
$95 outside the US (except Canada)


Questions or concerns? Call 513.321.8484 or email MAKMLCC@aol.com