Seattle Us TOO
Prostate Cancer - DVD Order Form

To order one of these DVD’s, contact Frank Lan at us-too-video@hotmail.com

Videos mailed to you cost $5 including shipping and handling. Videos can also be picked up at the Seattle US-TOO regular meetings for $3.

Please print out the form below and send it along with your check to the address listed below.

The following DVDs are available from Seattle Us-TOO:

1. Bruce Montgomery M.D.
New Themes in Androgen Deprivation Therapy
January 18, 2005                                       _________

2. Bruce Montgomery M.D.
Immunotheraphy for Prostate Cancer            
March 15, 2005                                         _________

3. Edward Weber M.D.
Decision Points: Managing a Rising PSA after Failure of Primary Therapy for Prostate Cancer.                                                  
April 19, 2005                                           _________

4. Celestia Higano M.D.
Clinical Trials & ASCO Meeting
June 21, 2005                                          _________

Please select the DVD you want and remit $5.00 for each DVD selected.

Address you want DVD mailed to:

_________________________________________________________
Street Address

________________________      _________   __________________
City                                           State              Zip Code

Mail order form and payment to:

Frank Lan
2147 E Beaver Lake Dr SE
Sammamish, WA 98075

For more information:
Email: us-too-video@hotmail.com

Make checks payable to: Seattle Us-TOO

Thank You!