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Request Form

Please check all publications of interest and we will rush you sample copies, custom options and prices. Please note: there is no obligation on your part in requesting these free review copies and price estimates:

Health & Wellness Coupon Booklets

Estimated quantities (no obligation):
10,000 (min. custom quantity) -19,999
20,000-49,999 50,000+


Senior Health Wall Calendar™

Estimated quantities (no obligation):
200-499 500-999 1,000-4,999 5,000+

Custom wall calendar options of interest:
Response cards/insert sheets
Custom calendar stickers
Completely custom senior wall calendar


Medication Safety Planner—You & Your Medications™
Large print pocket planner with medication safety tips.

Estimated quantities (no obligation):
1,000-2,999 3,000-9,999 10,000+

Custom planner options of interest:
Response cards/coupons
Custom stickers
Custom display holders


Medicare Slide-Guide™
A Quick Reference to Part D

Estimated quantities (no obligation):
100-499 500-999 1,000-4,999 5,000+

Also Available—Additional Slide-Guide Editions
(please check all of interest)

Extra-Help Editions — Explanation of benefits for limited-income seniors (also lower reading level)
Spanish Editions
State Slide-Guide Editions
Employer Editions
Completely Custom Slide-Charts related to the new Medicare drug benefit
Personal


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1-800-828-8225, weekdays 8-6
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(after hours, please leave voice-mail)

Address:
American Custom Publishing Corporation
1850 W. Winchester Rd. Suite 213
Libertyville, IL 60048