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:

2007 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 Soon—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


2007 Personal Health Planner—You & Your Medications™
Large print pocket planner with medication safety tips.

Estimated quantities (no obligation):
500-999 1,000-2,999 3,000+

Custom planner options of interest:
Response cards/coupons
Custom stickers
Custom display holders
Completely custom medication safety planner


2007 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


Custom Senior Health Organizer Booklets

Estimated quantities (no obligation):
5,000 (min. custom quantity) -9,999
10,000-19,999 20,000-49,999 50,000+


Name:

Title:

Organization:

Address:

City/State/Zip:

Phone:

E-mail:

In a hurry?
Please call us,
1-800-828-8225, weekdays 8-6
Central time
(after hours, please leave voice-mail)

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

Request Free Samples & Estimates | About the Publisher | Recent ACP Clients | Medicare Slide-Guide
Personal Health Planner | Senior Health Wall Calendar | Health Organizer Booklets | Home