Active Living Tip Sheets - Order Form

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Order Form for Active Living Tip Sheets

Please complete the following form and submit it to Active Aging Canada for processing.

Name*
Title
Name of Organization
Address Line 1*
Address Line 2
City/Town*
Province*
Postal Code*
Email*
Phone

Indicate which Active Living Tips you wish to receive: Active Living Helps Arthritis Healthy Eating & Regular Physical Activity: A Winning Combination for Older Adults Preventing Falls in Older Adults The Power of Strength Training for Older Adults Brain Fitness: As Important as Body Fitness Aerobic Fitness for Older Adults Exercise for Your Heart's Sake - It's Never Too Late
Language Preference:	*if you would like more than one language please contact the office and we will be pleased to fill your order
Quantity:	*if larger quantities are required please contact the office
I wish to receive Active Aging Canada email newsletters

by the University of Regina,
Health Psychology Laboratory

for a research study to evaluate
a pain self-management program.

Please visit their website
for more information