BOOKS (alphabetical by title) Note: Books are NOT always available in bulk quantity. If interested in bulk quantity, please call for more information.

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1 BOOKS (alphabetical by title) Note: Books are NOT always available in bulk quantity. If interested in bulk quantity, please call for more information. Book Title Price (each) Quantity Total 1. Aging With Grace $15.00 2. Alzheimer s: A Broken Brain $ 3.00 3. Alzheimer s Activities $18.00 4. Alzheimer s Activities that Stimulate the Mind $15.00 5. Alzheimer s Answer: Reduce Your Risk and Keep Your Brain Healthy $20.00 6. Alzheimer s Disease: The Family Journey $11.00 7. Alzheimer s Early Stages: First Steps for Family, Friends and Caregivers $15.00 8. Alzheimer s From the Inside Out $25.00 9. Alzheimer s Prevention Program $12.00 10. The Alzheimer s Journey A Practical Perspective for Caregivers $17.00 11. The Art of Dementia Care $20.00 12. The Better Brain Book: The Best Tools for Improving Memory and Sharpness and Preventing Aging of the Brain $13.00 13. Caregiver Notebook $15.00 14. Caregiver s Guide to Lewy Body Dementia $18.00 15. Caregiver s Path to Compassionate Decision Making $12.00 16. Caring for Yourself While Caring for Your Aging Parents $15.00 17. Chicken Soup for the Soul: Living with Alzheimer s and Other Dementias $10.00 18. Como Hablar con un Enfermo de Alzheimer (Talking to Alzheimer s Spanish Edition) $17.00 19. Coping with Behavior Change in Dementia $20.00 20. Cuando el Dia Tiene 36 Horas $25.00 21. Dementia Beyond Drugs: Changing the Culture of Care $30.00 22. Dementia Caregivers Share Their Stories: A Support Group in a Book $20.00 23. A Dignified Life: The Best Friends Approach to Alzheimer s Care: A Guide for Caregivers $15.00 24. Elder Care: A Six-Step Guide to Balancing Work and Family $10.00 25. Enduring Self in People with Alzheimer s: Getting to the Heart of Individualized Care $11.00 26. Forget Memory $15.00 27. The Forgetting $15.00 28. The Graduation of Jake Moon (children s book) $11.00 29. Ice Cream in the Cupboard: A True Story of Early Onset Alzheimer s $15.00 Continued Page 2

2 BOOKS (alphabetical by title) Note: Books are NOT always available in bulk quantity. If interested in bulk quantity, please call for more information. Book Title Price (each) Quantity Total 30. Inside Alzheimer s: How to Hear and Honor Connections with a Person Who Has Dementia $18.00 31. Inside the Brain: An Interactive Tour (CD-Rom) (also Available in Spanish) $ 5.00 32. Jan s Story: Love Lost to the Long Goodbye of Alzheimer s $15.00 33. Keep Your Brain Young: The Complete Guide to Physical and Emotional Health and Longevity $15.00 34. Keeping Busy : A Handbook of Activities for Persons with Dementia $20.00 35. Learning to Speak Alzheimer s $11.00 36. Living Your Best with Early-Stage Alzheimer s $16.00 37. Losing My Mind: An Intimate Look at Life with Alzheimer s $13.00 38. Managing Nutrition in Dementia Care $ 5.00 39. The Memory Cure: How to Protect Your Brain Against Memory Loss and Alzheimer s Disease $12.00 40. Moving a Relative With Memory Loss $17.00 41. Parkinson s Disease $ 5.00 42. Share the Care: How to Organize a Group to Care for Someone Who Is Seriously Ill $15.00 43. Singing With Momma Lou $15.00 44. Speaking Our Minds: What It s Like to Have Alzheimer s $22.00 45. Talking to Alzheimer s: Simple Ways to Connect When You Visit with a Family Member or Friend $16.00 46. The 36-Hour Day (also available in Spanish) $14.00 47. Understanding with Compassion: Help for Loved Ones and Caregivers of a Brain Illness Patient $17.00 48. Validation Techniques for Dementia Care $20.00 49. Vascular Dementia: An Explanation of Dementia Caused by Multiple Brain Strokes $ 3.00 50. Voices of Alzheimer s: The Healing Companion: Stories for Courage, Comfort and Strength $15.00 51. What s Happening to Grandpa? (Children s book) $11.00 52. When Love Gets Tough: The Nursing Home Decision $10.00 53. Your Name is Hughes Hannibal Shanks: A Caregiver s Guide to Alzheimer s $13.00 Book SUB-TOTAL ------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------ $ Continued Page 3

3 CARDS / BROCHURES / PAMPHLETS (alphabetical by title) If ordering only FREE materials, $5.00 shipping may apply.* Title Price (each) Quantity Total *24/7 Helpline card (max 25/per order) *FREE *FREE Activities at Home brochure *Alzheimer s and Dementia Caregiver Center brochure *FREE *FREE *Alzheimer s Association, Southeastern Wisconsin Chapter Services flyer *FREE *FREE Basics of Alzheimer s Disease pamphlet Behaviors brochure Caregiver Stress brochure (includes symptoms of caregiver stress) Communication-Best ways to interact with the person with dementia pamphlet Early-Onset Alzheimer s pamphlet End-of-Life Decisions pamphlet If You Have Alzheimer s Disease-We re here for you and those you love-10 tips for living with Alzheimer s card Is it Alzheimer s or Just Signs of Aging? 10 signs every African-American should know card Keeping Your Mind Sharp: Brain Health & African-Americans card *Know the 10 Signs brochure (also in Spanish) (max 25/per order)* *FREE *FREE Late-Stage Care brochure Legal Plans brochure LGBT Caregiver Concerns brochure Lighting the Path for People Affected by Alzheimer s: African-American Clergy Guide brochure *MedicAlert+Safe Return card (max 25/per order) *FREE *FREE Money Matters brochure Personal Care brochure Staying Safe brochure Staying Strong: Stress Relief for African-American Caregivers brochure Card / Brochure / Pamphlet SUB-TOTAL------------------------------------------------------- --------------------------------------------------------- $ Continued Page 4

4 BOOKLETS (alphabetical by title) Title Price (each) Quantity Total Basics of Alzheimer s Disease What It Is and What You Can Do $0.75 What s Being Done About Alzheimer s? $0.75 Booklet SUB-TOTAL -------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------ $ Publications TOTAL (includes books, brochures, booklets, cards) ---------------------------------------- ------------------------------------------------ $ Shipping & Handling (Add): $0 - $25: $5.00 $25 - $50: $10.00 $50 - $75: $15.00 ------------------------------------------------ $ TOTAL REMITTANCE ------------------------------------------------------------------------------------------------------------------------ ------------------------------------------------ $ Continued Page 5

5 PURCHASED BY Purchaser Name: Organization (if applicable): Title (if applicable): Street Address: City/State/Zip Code: Phone #: ( ) Fax #: ( ) Ship To (if different from Purchaser): Organization (if applicable): Title (if applicable): Street Address: City/State/Zip Code: Email for credit card transaction receipt: PAYMENT (check appropriate boxes): Cash Check #: Charge Amount: $ Credit Card: Visa MasterCard Discover American Express Card #: Expiration Date: /20 Security Code: Name as appears on card: Signature: Cardholder Address (if different from above): City, State, Zip: Telephone: ( ) Email: CONTACT: James Sampson, Program Specialist phone 414.479.8800 fax 414.479.8819 M-F 8:30 am 5:00 pm SHIPMENT (check one): USPS UPS In Person OFFICE USE ONLY : DO NOT WRITE BELOW THIS LINE Date: / /201 Processed By: (Name -- please write/print clearly)