- Reserve Your StudentBody Kit -

To obtain your StudentBody kit for $19.95 (including shipping):

1. COMPLETE then submit this form (required fields in bold)
2. WAIT for confirmation of your order # via E-mail
3. MAIL a check or money order for $19.95 WITH YOUR ORDER # to:
Yaros Communications, Inc.
8203 Moorland Lane
Bethesda, MD 20817

Address valid as of 2009. Sorry, no phone or credit cards are accepted.


My zip code is:


E-mail address where I would like my confirmation sent (we do not share addresses):

I am a: : physical education teacher health teacher homeschool parent

NAME:

title:
(optional)

STREET ADDRESS:

CITY: STATE:

(optional phone # if we need to contact you)

Payment:

Please note our mailing address (valid as of 2009) now:
Yaros Communications, Inc.
8203 Moorland Land
Bethesda, MD 20817


To better assist you in the future, please answer four questions:

Type of computer/operating system:

Of the following categories, which one represents your main source for health information?

LOCAL TV almost daily
LOCAL TV a few times a week
LOCAL TV a few times a month
CABLE
Web
not answered

If you have a favorate local health/science televisoin reporter that you think might be interested in the StudentBody educational program, please provide his/her name station ID or channel, city and any comments so we can send them StudentBody information:

I teach health and/or physical education:

occasionally
weekly
daily
other
not answered