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Charles E. Truthan, DO, FACOFP

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For questions or to sign up for Medical Director Services,
call F.D. Doc (Charles Truthan, DO, FACOFP) at (352) 266-0460

Respiratory Protection Program (RPP)
For Firefighters


Order Form

Instructions:
1.  Print out this order form & complete the information
2.  MAIL TO:   F.D. Doc® / Truthan Enterprises
                       8927 SE 70th Terrace
                       Ocala, FL  34472

Quantity Item Extended Total
  Respiratory Protection Program Manual (Includes Shipping & Handling) @ $ 275.00      $
(Includes one year of updates)   SUBTOTAL      $
Deduct $25 if you are an All Volunteer FD    - ($                  )
  Overnight Service add $ 30.00 per order   
C.O.D. with 3 day service - Add $ 40.00  
Florida (taxable) Fire Departments 
Add 7% sales tax  
 
ORDER TOTAL       $
Payable by Check, Money Order, or P.O.
(Optional) Purchase Order Number   

Shipping Information
 PRINT the EXACT NAME to be printed on your manual below
Manual Name:  
SHIP TO: Fire Department  
ATTN:  
Address:  
City:  
State:  
Zip Code:  
Phone:  
Fax:  
Billing Information
TO:  
ATTN:  
Email Address:  
Address:  
City:  
State:  
Zip Code:  
Phone:  
Fax:  

Make check or money order payble to "Truthan Enterprises"
Please Allow 3 to 4 weeks for UPS Ground delivery.

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