Connecticut Carcinoid Initiative (CCI) was established in December 2003 to make health care providers and the public in Connecticut more aware of  the symptoms of Carcinoid Cancer.  It is also intended to provide support to those with Carcinoid cancer and their caregivers.   Since its inception, CCI has grown from 10 to 90 members.
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Connecticut Carcinoid Initiative
COOKBOOK and MAGNET ORDER FORM
(PLEASE type or print very clearly)

Name:
Address: City, State, Zip Code:
Email address:Telephone (        ) ________ - ___________

____ x  $7.00 Bon Appetit – A Collection of Recipes by Connecticut Carcinoid Initiative
                     Packaging & Shipping Charges
                               1 book $3.00            2 books $4.003 books $5.00Outside US Add $1.00 per book

____ x  $3.00 Carcinoid Car Magnet (no additional charge for shipping)

$______ Subtotal (for books and magnets)
$______ (for packaging & shipping)


$______ (Total enclosed)



For questions / comments / concerns please email: Cookbooks & Magnets
Payment by Check or Money Orders only. 
Payable to CCI or Connecticut Carcinoid Initiative

Please send order form and payment to:
Connecticut Carcinoid Initiative
16 Covingron Drive
Milford, Ct  06461