Print the Order Form

Send it to Jeff Burger

 
AAAD
C/O Jeff Burger
7127 Spring Leaf
San Antonio, TX 78249
Fax # 210-699-0140
jeff_burger@sbcglobal.net

Payment can be turned in at any of the practices to
Ellen Horner (Divemom0821@aol.com) or can be mailed directly.