DDSEP Plus Bulk Orders Form - Digestive Diseases Self-Education Program

DDSEP Plus Bulk Order Form

Product	Regular Price	3 to 5 Orders¹	6 to 9 Orders¹	10+ Orders¹	Shipping
Product 1-Year Subscription	Regular Price $775	3 to 5 Orders¹ $695	6 to 9 Orders¹ $655	10+ Orders¹ $620	Shipping N/A
Product 3-Year Subscription	Regular Price $1,740	3 to 5 Orders¹ $1,565	6 to 9 Orders¹ $1,480	10+ Orders¹ $1,390	Shipping N/A

¹Pricing for subscription orders will be based on the total number of subscriptions ordered, regardless of subscription type.

First Name*

Last Name*

Company Name

Mailing Address Line 1*

Mailing Address Line 2

City*

State*

Zip Code*

Email Address*

Phone Number*

Subscriber's First Name*	Subscriber's Last Name*	Suscriber's Email*	Product*
Subscriber's First Name	Subscriber's Last Name	Suscriber's Email	Product
Subscriber's First Name	Subscriber's Last Name	Suscriber's Email	Product
Subscriber's First Name	Subscriber's Last Name	Suscriber's Email	Product

4930 Del Ray Avenue
Bethesda, MD 20814

301-654-2055

Connect with AGA

Disclaimer