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APT Practice Parameter for Standard Polysomnography APT ...

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Product Order FormPublication of the Association of Polysomnographic Technologists • 2006, Volume 15, Number 4 • www.aptweb.org<strong>APT</strong> Promotional Item Order Form<strong>APT</strong> National OfficeOne Westbrook Corporate Center, Suite 920Westchester, IL 60154Phone (708) 492-0796, Fax (708) 273-9344<strong>APT</strong> Promotional ItemsQUANTITYMEMBERSNON-MEMBERSTOTAL<strong>APT</strong> Membership Pin 2001 $10.00Sleep Disorders Awareness PinShow you care! Makes a great PSG Technologist Appreciation Week gift. 2003 $10.00 $15.00“Celestial Delectables” CookbookSilver Anniversary cookbook. 2020 $25.00 $30.00“Guardian Sleep” Print (Signed)Limited edition series of 500 color prints (certificate included).The original painting was rendered in oil and mixed media. 2010S $40.00 $90.00“Guardian Sleep” Print (Unsigned) 2010 $35.00 $85.00“Sentries of the Night” PrintColor print, measures approximately 8-1/2” x 11”. 2011 $8.00 $10.00<strong>APT</strong> Santa FlagDisplay holiday spirit in your sleep lab! Measures 24” X 36”, vibrant colors. While supplies last! 2021 $35.00 $45.00<strong>APT</strong> Apparel ItemsQUANTITY MEMBERS NON-MEMBERS<strong>APT</strong> Denim ShirtHigh-quality denim shirt featuring the <strong>APT</strong> logo. Available sizes: S / M / L / XL / XXL / XXXL 2120 $40.00 $45.00<strong>APT</strong> T-ShirtHigh-quality t-shirt featuring the <strong>APT</strong> logo. Available sizes: S / M / L / XL / XXL / XXXL 2130 $20.00 $25.00<strong>APT</strong> SweatshirtHigh-quality sweatshirt featuring the <strong>APT</strong> logo. Available sizes: S / M / L / XL / XXL 2140 $35.00 $40.00TOTAL*Please note that the <strong>APT</strong> does not accept purchase orders or orders over the phone. Shipping and handlingcharges <strong>for</strong> orders over six items will be charged based on cost. Orders may be expedited via UPS 2-Day(where available) based on cost. International shipping is available through the United States Postal Serviceand charged based on cost. The <strong>APT</strong> accepts no responsibility <strong>for</strong> loss of product.Shipping and Handling* $13.007.75% Sales Tax (IL residents only)TotalShipping & Payment In<strong>for</strong>mationName:Shipping To:❑ Residential Address ❑ Commercial AddressMember Number:Payment By:❑ Check (US bank only) ❑ Visa ❑ Mastercard ❑ American ExpressAddress:Credit Card Number:City: State ZipVerification Code:Expiration:Phone Number:Signature:Rev. 8/0638

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