Natural health doctor Tulsa, naturopathic doctor Tulsa, alternative medicine Tulsa, European Natural Health Center USA, alternative therapy USA, natural medicine USA European Natural Health Center Imagine Health. Naturally. |
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Natural health doctor Tulsa, naturopathic doctor Tulsa, alternative medicine Tulsa, European Natural Health Center USA, alternative therapy USA, natural medicine USA European Natural Health Center Imagine Health. Naturally. |
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Natural health doctor Tulsa, naturopathic doctor Tulsa, alternative medicine Tulsa, European Natural Health Center USA, alternative therapy USA, natural medicine USA European Natural Health Center Imagine Health. Naturally. |
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Natural health doctor Tulsa, naturopathic doctor Tulsa, alternative medicine Tulsa, European Natural Health Center USA, alternative therapy USA, natural medicine USA European Natural Health Center Imagine Health. Naturally. |
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Natural health doctor Tulsa, naturopathic doctor Tulsa, alternative medicine Tulsa, European Natural Health Center USA, alternative therapy USA, natural medicine USA European Natural Health Center Imagine Health. Naturally. |
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Natural health doctor Tulsa, naturopathic doctor Tulsa, alternative medicine Tulsa, European Natural Health Center USA, alternative therapy USA, natural medicine USA European Natural Health Center Imagine Health. Naturally. |
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Natural health doctor Tulsa, naturopathic doctor Tulsa, alternative medicine Tulsa, European Natural Health Center USA, alternative therapy USA, natural medicine USA European Natural Health Center Imagine Health. Naturally. |
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Natural health doctor Tulsa, naturopathic doctor Tulsa, alternative medicine Tulsa, European Natural Health Center USA, alternative therapy USA, natural medicine USA European Natural Health Center Imagine Health. Naturally. |
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Natural health doctor Tulsa, naturopathic doctor Tulsa, alternative medicine Tulsa, European Natural Health Center USA, alternative therapy USA, natural medicine USA European Natural Health Center Imagine Health. Naturally. |
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Natural health doctor Tulsa, naturopathic doctor Tulsa, alternative medicine Tulsa, European Natural Health Center USA, alternative therapy USA, natural medicine USA European Natural Health Center Imagine Health. Naturally. |
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Natural health doctor Tulsa, naturopathic doctor Tulsa, alternative medicine Tulsa, European Natural Health Center USA, alternative therapy USA, natural medicine USA European Natural Health Center Imagine Health. Naturally. |
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Natural health doctor Tulsa, naturopathic doctor Tulsa, alternative medicine Tulsa, European Natural Health Center USA, alternative therapy USA, natural medicine USA European Natural Health Center Imagine Health. Naturally. |
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Upowaznienia Obciazenia Karty Kredytowej
Prosze wydrukowac te strone i po czytelnym wypelnienu wyslac faxem na numer u dolu tej strony. Rowniez prosze wyslac oryginal poczta lotnicza/expresem na adres.
Prosimy pamietac o dolaczeniu kopii kserograficznej obydwu stron karty
| Upowaznienie do obciazenia karty kredytowej Niniejszym upowazniam Dr. Andre Alexander Kulisz do obciazenia MOJEJ karty kredytowej. Suma US$__________________.__________ Imie i nazwisko pacjeta/ki_________________________________ Visa MasterCard (zakreslic wlasciwa) Numer _ _ _ _ - _ _ _ _ - _ _ _ _ - _ _ _ _ Wazna do miesiac ______ rok _____ Numer Security Code jak ponizej ________
Wlasciciel/ka karty kredytowej Imie ____________________________________ Nazwisko _________________________________ Adres: Ulica i numer _______________________________ Miejscowosc _______________________________ Kod pocztowy ______________________________ Kraj ______________________________________ Telefon (kod kraju, numer kierunkowy, numer telefonu) ________________________________________ Niniejszym upowazniam powyzsza platnosc i potwierdzam prawdzivosc w/w danych. __________________________________ Podpis jak na karcie. Kopia xerograficzna obydwu stron karty dolaczona | Credit card charge authorization I hereby authorize Dr. Andre A. Kulisz to charge my credit card for the amount of: US$______________________________________________ Patient's name ________________________________________ Visa MasterCard (circle one) Number _ _ _ _ - _ _ _ _ - _ _ _ _ - _ _ _ _ Expiry date month _________ year ________ Card security code _______________________
Credit card owner: First Name ___________________________________ Last Name ___________________________________ Address: Street _________________________________________ City __________________________________________ Postal Code _______________________ Country ____________________________ Telephone: (country code, area code and number) _____________________________________________ I hereby authorize the above charge and confirm that all the information above is true and correct. ____________________________________ Signature as on the card Xerox copy of both sides of the card attached |
Home Practice & Appointments Services Health Assessment Questionnaire Literature General Information Health Links Disclaimer Email Tel. +1-918-398-0252, Fax +1-661-459-2329, 7116 S. Mingo Rd., Suite 101, Tulsa, OK 74133, USA
This website, the information contained herein and/or nutritional products/formulations represented are not drugs as defined by the US Government and as such are not intended to diagnose, treat, cure, mitigate or prevent any disease. Use of this website signifies acknowledgement and agreement with this disclaimer. For the full disclaimer click here. FAIR USE NOTICE: This site contains copyrighted material, the use of which, has not always been specifically authorized by the copyright owner. We are making such material available in our efforts to advance understanding of health, environmental, political, human rights, economic, democracy, scientific, and social justice issues, etc. We believe this constitutes a 'fair use' of any such copyrighted material as provided for in section 107 of the US Copyright Law. In accordance with Title 17 U.S.C. Section 107, the material on this site is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes. For more information go to: www.law.cornell.edu/uscode/17/107.shtml. If you wish to use copyrighted material from this site for purposes of your own that go beyond 'fair use', you must obtain permission from the copyright owner. |
Revised: March 30, 2011 07:47 -0500, All Rights Reserved (c) Kulisz & Dahlmann, 2002 - 2010
Home Practice & Appointments Services Health Assessment Questionnaire Literature General Information Health Links Disclaimer Email Tel. +1-918-398-0252, Fax +1-661-459-2329, 7116 S. Mingo Rd., Suite 101, Tulsa, OK 74133, USA
This website, the information contained herein and/or nutritional products/formulations represented are not drugs as defined by the US Government and as such are not intended to diagnose, treat, cure, mitigate or prevent any disease. Use of this website signifies acknowledgement and agreement with this disclaimer. For the full disclaimer click here. FAIR USE NOTICE: This site contains copyrighted material, the use of which, has not always been specifically authorized by the copyright owner. We are making such material available in our efforts to advance understanding of health, environmental, political, human rights, economic, democracy, scientific, and social justice issues, etc. We believe this constitutes a 'fair use' of any such copyrighted material as provided for in section 107 of the US Copyright Law. In accordance with Title 17 U.S.C. Section 107, the material on this site is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes. For more information go to: www.law.cornell.edu/uscode/17/107.shtml. If you wish to use copyrighted material from this site for purposes of your own that go beyond 'fair use', you must obtain permission from the copyright owner. |
Revised: April 27, 2011 08:11 -0500, All Rights Reserved (c) Kulisz & Dahlmann, 2002 - 2010
Home Practice & Appointments Services Health Assessment Questionnaire Literature General Information Health Links Disclaimer Email Tel. +1-918-398-0252, Fax +1-661-459-2329, 7116 S. Mingo Rd., Suite 101, Tulsa, OK 74133, USA
This website, the information contained herein and/or nutritional products/formulations represented are not drugs as defined by the US Government and as such are not intended to diagnose, treat, cure, mitigate or prevent any disease. Use of this website signifies acknowledgement and agreement with this disclaimer. For the full disclaimer click here. FAIR USE NOTICE: This site contains copyrighted material, the use of which, has not always been specifically authorized by the copyright owner. We are making such material available in our efforts to advance understanding of health, environmental, political, human rights, economic, democracy, scientific, and social justice issues, etc. We believe this constitutes a 'fair use' of any such copyrighted material as provided for in section 107 of the US Copyright Law. In accordance with Title 17 U.S.C. Section 107, the material on this site is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes. For more information go to: www.law.cornell.edu/uscode/17/107.shtml. If you wish to use copyrighted material from this site for purposes of your own that go beyond 'fair use', you must obtain permission from the copyright owner. |
Revised: April 27, 2011 08:48 -0500, All Rights Reserved (c) Kulisz & Dahlmann, 2002 - 2010
Home Practice & Appointments Services Health Assessment Questionnaire Literature General Information Health Links Disclaimer Tel. San Antonio/Hill Country, TX: +1-210-858-9143; Tulsa, Oklahoma: +1-918-398-0252, Fax both locations: +1-661-459-2329, Mailing address: 1647 Rio Ranchero Rd., Pipe Creek, TX 78063, USA Shipping addresses: Texas: 1647 Rio Ranchero Rd., Pipe Creek, TX 78063; Oklahoma: 303 E. Ray Fine Blvd. #2, Roland, OK 74954 This website, the information contained herein and/or nutritional products/formulations represented are not drugs as defined by the US Government and as such are not intended to diagnose, treat, cure, mitigate or prevent any disease. Use of this website signifies acknowledgement and agreement with this disclaimer. For the full disclaimer click here. FAIR USE NOTICE: This site contains copyrighted material, the use of which, has not always been specifically authorized by the copyright owner. We are making such material available in our efforts to advance understanding of health, environmental, political, human rights, economic, democracy, scientific, and social justice issues, etc. We believe this constitutes a 'fair use' of any such copyrighted material as provided for in section 107 of the US Copyright Law. In accordance with Title 17 U.S.C. Section 107, the material on this site is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes. For more information go to: www.law.cornell.edu/uscode/17/107.shtml. If you wish to use copyrighted material from this site for purposes of your own that go beyond 'fair use', you must obtain permission from the copyright owner. |
Revised: May 15, 2011 12:28 -0500, All Rights Reserved (c) Kulisz & Dahlmann, 2002 - 2010
Home Practice & Appointments Services Health Assessment Questionnaire Literature General Information Health Links Disclaimer
Tel. San Antonio/Hill Country, TX: +1-210-858-9143; Tulsa, Oklahoma: +1-918-398-0252, Fax both locations: +1-661-459-2329, Mailing address: 1647 Rio Ranchero Rd., Pipe Creek, TX 78063, USA Shipping addresses: Texas: 1647 Rio Ranchero Rd., Pipe Creek, TX 78063; Oklahoma: 303 E. Ray Fine Blvd. #2, Roland, OK 74954
This website, the information contained herein and/or nutritional products/formulations represented are not drugs as defined by the US Government and as such are not intended to diagnose, treat, cure, mitigate or prevent any disease. Use of this website signifies acknowledgement and agreement with this disclaimer. For the full disclaimer click here. FAIR USE NOTICE: This site contains copyrighted material, the use of which, has not always been specifically authorized by the copyright owner. We are making such material available in our efforts to advance understanding of health, environmental, political, human rights, economic, democracy, scientific, and social justice issues, etc. We believe this constitutes a 'fair use' of any such copyrighted material as provided for in section 107 of the US Copyright Law. In accordance with Title 17 U.S.C. Section 107, the material on this site is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes. For more information go to: www.law.cornell.edu/uscode/17/107.shtml. If you wish to use copyrighted material from this site for purposes of your own that go beyond 'fair use', you must obtain permission from the copyright owner. |
Revised: May 15, 2011 12:31 -0500, All Rights Reserved (c) Kulisz & Dahlmann, 2002 - 2010
Home Practice & Appointments Services Health Assessment Questionnaire Literature General Information Health Links Disclaimer
Tel. San Antonio/Hill Country, TX: +1-210-858-9143; Tulsa, Oklahoma: +1-918-398-0252, Fax both locations: +1-661-459-2329, Mailing address: 1647 Rio Ranchero Rd., Pipe Creek, TX 78063, USA Shipping addresses: Texas: 1647 Rio Ranchero Rd., Pipe Creek, TX 78063; Oklahoma: 303 E. Ray Fine Blvd. #2, Roland, OK 74954
This website, the information contained herein and/or nutritional products/formulations represented are not drugs as defined by the US Government and as such are not intended to diagnose, treat, cure, mitigate or prevent any disease. Use of this website signifies acknowledgement and agreement with this disclaimer. For the full disclaimer click here. FAIR USE NOTICE: This site contains copyrighted material, the use of which, has not always been specifically authorized by the copyright owner. We are making such material available in our efforts to advance understanding of health, environmental, political, human rights, economic, democracy, scientific, and social justice issues, etc. We believe this constitutes a 'fair use' of any such copyrighted material as provided for in section 107 of the US Copyright Law. In accordance with Title 17 U.S.C. Section 107, the material on this site is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes. For more information go to: www.law.cornell.edu/uscode/17/107.shtml. If you wish to use copyrighted material from this site for purposes of your own that go beyond 'fair use', you must obtain permission from the copyright owner. |
Revised: May 15, 2011 14:03 -0500, All Rights Reserved (c) Kulisz & Dahlmann, 2002 - 2010
Home Practice & Appointments Services Health Assessment Questionnaire Literature General Information Health Links Disclaimer
Tel. San Antonio/Hill Country, TX: +1-210-858-9143; Tulsa, Oklahoma: +1-918-398-0252, Fax both locations: +1-661-459-2329, Mailing address: 1647 Rio Ranchero Rd., Pipe Creek, TX 78063, USA Shipping addresses: Texas: 1647 Rio Ranchero Rd., Pipe Creek, TX 78063; Oklahoma: 303 E. Ray Fine Blvd. #2, Roland, OK 74954
This website, the information contained herein and/or nutritional products/formulations represented are not drugs as defined by the US Government and as such are not intended to diagnose, treat, cure, mitigate or prevent any disease. Use of this website signifies acknowledgement and agreement with this disclaimer. For the full disclaimer click here. FAIR USE NOTICE: This site contains copyrighted material, the use of which, has not always been specifically authorized by the copyright owner. We are making such material available in our efforts to advance understanding of health, environmental, political, human rights, economic, democracy, scientific, and social justice issues, etc. We believe this constitutes a 'fair use' of any such copyrighted material as provided for in section 107 of the US Copyright Law. In accordance with Title 17 U.S.C. Section 107, the material on this site is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes. For more information go to: www.law.cornell.edu/uscode/17/107.shtml. If you wish to use copyrighted material from this site for purposes of your own that go beyond 'fair use', you must obtain permission from the copyright owner. |
Revised: May 15, 2011 14:09 -0500, All Rights Reserved (c) Kulisz & Dahlmann, 2002 - 2010
Home Practice & Appointments Services Health Assessment Questionnaire Literature General Information Health Links Disclaimer
Tel. San Antonio/Hill Country, TX: +1-210-858-9143; Tulsa, Oklahoma: +1-918-398-0252, Fax both locations: +1-661-459-2329, Mailing address: 1647 Rio Ranchero Rd., Pipe Creek, TX 78063, USA Shipping addresses: Texas: 1647 Rio Ranchero Rd., Pipe Creek, TX 78063; Oklahoma: 303 E. Ray Fine Blvd. #2, Roland, OK 74954
This website, the information contained herein and/or nutritional products/formulations represented are not drugs as defined by the US Government and as such are not intended to diagnose, treat, cure, mitigate or prevent any disease. Use of this website signifies acknowledgement and agreement with this disclaimer. For the full disclaimer click here. FAIR USE NOTICE: This site contains copyrighted material, the use of which, has not always been specifically authorized by the copyright owner. We are making such material available in our efforts to advance understanding of health, environmental, political, human rights, economic, democracy, scientific, and social justice issues, etc. We believe this constitutes a 'fair use' of any such copyrighted material as provided for in section 107 of the US Copyright Law. In accordance with Title 17 U.S.C. Section 107, the material on this site is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes. For more information go to: www.law.cornell.edu/uscode/17/107.shtml. If you wish to use copyrighted material from this site for purposes of your own that go beyond 'fair use', you must obtain permission from the copyright owner. |
Revised: May 15, 2011 14:10 -0500, All Rights Reserved (c) Kulisz & Dahlmann, 2002 - 2010
Home Practice & Appointments Services Health Assessment Questionnaire Literature General Information Health Links Disclaimer
Tel. San Antonio/Hill Country, TX: +1-210-858-9143; Tulsa, Oklahoma: +1-918-398-0252, Fax both locations: +1-661-459-2329, Mailing address: 1647 Rio Ranchero Rd., Pipe Creek, TX 78063, USA Shipping addresses: Texas: 1647 Rio Ranchero Rd., Pipe Creek, TX 78063; Oklahoma: 303 E. Ray Fine Blvd. #2, Roland, OK 74954
This website, the information contained herein and/or nutritional products/formulations represented are not drugs as defined by the US Government and as such are not intended to diagnose, treat, cure, mitigate or prevent any disease. Use of this website signifies acknowledgement and agreement with this disclaimer. For the full disclaimer click here. FAIR USE NOTICE: This site contains copyrighted material, the use of which, has not always been specifically authorized by the copyright owner. We are making such material available in our efforts to advance understanding of health, environmental, political, human rights, economic, democracy, scientific, and social justice issues, etc. We believe this constitutes a 'fair use' of any such copyrighted material as provided for in section 107 of the US Copyright Law. In accordance with Title 17 U.S.C. Section 107, the material on this site is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes. For more information go to: www.law.cornell.edu/uscode/17/107.shtml. If you wish to use copyrighted material from this site for purposes of your own that go beyond 'fair use', you must obtain permission from the copyright owner. |
Revised: May 15, 2011 14:10 -0500, All Rights Reserved (c) Kulisz & Dahlmann, 2002 - 2010
Home Practice & Appointments Services Health Assessment Questionnaire Literature General Information Health Links Disclaimer
Tel. San Antonio/Hill Country, TX: +1-210-858-9143; Tulsa, Oklahoma: +1-918-398-0252, Fax both locations: +1-661-459-2329, Mailing address: 1647 Rio Ranchero Rd., Pipe Creek, TX 78063, USA Shipping addresses: Texas: 1647 Rio Ranchero Rd., Pipe Creek, TX 78063; Oklahoma: 303 E. Ray Fine Blvd. #2, Roland, OK 74954
This website, the information contained herein and/or nutritional products/formulations represented are not drugs as defined by the US Government and as such are not intended to diagnose, treat, cure, mitigate or prevent any disease. Use of this website signifies acknowledgement and agreement with this disclaimer. For the full disclaimer click here. FAIR USE NOTICE: This site contains copyrighted material, the use of which, has not always been specifically authorized by the copyright owner. We are making such material available in our efforts to advance understanding of health, environmental, political, human rights, economic, democracy, scientific, and social justice issues, etc. We believe this constitutes a 'fair use' of any such copyrighted material as provided for in section 107 of the US Copyright Law. In accordance with Title 17 U.S.C. Section 107, the material on this site is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes. For more information go to: www.law.cornell.edu/uscode/17/107.shtml. If you wish to use copyrighted material from this site for purposes of your own that go beyond 'fair use', you must obtain permission from the copyright owner. |
Revised: May 15, 2011 14:10 -0500, All Rights Reserved (c) Kulisz & Dahlmann, 2002 - 2010
Home Practice & Appointments Services Health Assessment Questionnaire Literature General Information Health Links Disclaimer
Tel. San Antonio/Hill Country, TX: +1-210-858-9143; Tulsa, Oklahoma: +1-918-398-0252, Fax both locations: +1-661-459-2329, Mailing address: 1647 Rio Ranchero Rd., Pipe Creek, TX 78063, USA Shipping addresses: Texas: 1647 Rio Ranchero Rd., Pipe Creek, TX 78063; Oklahoma: 303 E. Ray Fine Blvd. #2, Roland, OK 74954
This website, the information contained herein and/or nutritional products/formulations represented are not drugs as defined by the US Government and as such are not intended to diagnose, treat, cure, mitigate or prevent any disease. Use of this website signifies acknowledgement and agreement with this disclaimer. For the full disclaimer click here. FAIR USE NOTICE: This site contains copyrighted material, the use of which, has not always been specifically authorized by the copyright owner. We are making such material available in our efforts to advance understanding of health, environmental, political, human rights, economic, democracy, scientific, and social justice issues, etc. We believe this constitutes a 'fair use' of any such copyrighted material as provided for in section 107 of the US Copyright Law. In accordance with Title 17 U.S.C. Section 107, the material on this site is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes. For more information go to: www.law.cornell.edu/uscode/17/107.shtml. If you wish to use copyrighted material from this site for purposes of your own that go beyond 'fair use', you must obtain permission from the copyright owner. |
Revised: May 15, 2011 14:10 -0500, All Rights Reserved (c) Kulisz & Dahlmann, 2002 - 2010
Home Practice & Appointments Services Health Assessment Questionnaire Literature General Information Health Links Disclaimer
Tel. San Antonio/Hill Country, TX: +1-210-858-9143; Tulsa, Oklahoma: +1-918-398-0252, Fax both locations: +1-661-459-2329, Mailing address: 1647 Rio Ranchero Rd., Pipe Creek, TX 78063, USA Shipping addresses: Texas: 1647 Rio Ranchero Rd., Pipe Creek, TX 78063; Oklahoma: 303 E. Ray Fine Blvd. #2, Roland, OK 74954
This website, the information contained herein and/or nutritional products/formulations represented are not drugs as defined by the US Government and as such are not intended to diagnose, treat, cure, mitigate or prevent any disease. Use of this website signifies acknowledgement and agreement with this disclaimer. For the full disclaimer click here. FAIR USE NOTICE: This site contains copyrighted material, the use of which, has not always been specifically authorized by the copyright owner. We are making such material available in our efforts to advance understanding of health, environmental, political, human rights, economic, democracy, scientific, and social justice issues, etc. We believe this constitutes a 'fair use' of any such copyrighted material as provided for in section 107 of the US Copyright Law. In accordance with Title 17 U.S.C. Section 107, the material on this site is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes. For more information go to: www.law.cornell.edu/uscode/17/107.shtml. If you wish to use copyrighted material from this site for purposes of your own that go beyond 'fair use', you must obtain permission from the copyright owner. |
Revised: May 15, 2011 14:10 -0500, All Rights Reserved (c) Kulisz & Dahlmann, 2002 - 2010
Home Practice & Appointments Services Health Assessment Questionnaire Literature General Information Health Links Disclaimer
Tel. San Antonio/Hill Country, TX: +1-210-858-9143; Tulsa, Oklahoma: +1-918-398-0252, Fax both locations: +1-661-459-2329, Mailing address: 1647 Rio Ranchero Rd., Pipe Creek, TX 78063, USA Shipping addresses: Texas: 1647 Rio Ranchero Rd., Pipe Creek, TX 78063; Oklahoma: 303 E. Ray Fine Blvd. #2, Roland, OK 74954
This website, the information contained herein and/or nutritional products/formulations represented are not drugs as defined by the US Government and as such are not intended to diagnose, treat, cure, mitigate or prevent any disease. Use of this website signifies acknowledgement and agreement with this disclaimer. For the full disclaimer click here. FAIR USE NOTICE: This site contains copyrighted material, the use of which, has not always been specifically authorized by the copyright owner. We are making such material available in our efforts to advance understanding of health, environmental, political, human rights, economic, democracy, scientific, and social justice issues, etc. We believe this constitutes a 'fair use' of any such copyrighted material as provided for in section 107 of the US Copyright Law. In accordance with Title 17 U.S.C. Section 107, the material on this site is distributed without profit to those who have expressed a prior interest in receiving the included information for research and educational purposes. For more information go to: www.law.cornell.edu/uscode/17/107.shtml. If you wish to use copyrighted material from this site for purposes of your own that go beyond 'fair use', you must obtain permission from the copyright owner. |
Revised: May 15, 2011 14:10 -0500, All Rights Reserved (c) Kulisz & Dahlmann, 2002 - 2010
Revised: February 01, 2012 19:47 -0600, All Rights Reserved (c) Kulisz & Dahlmann, 2002 - 2010 |