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Eck ( ) items you want on the order form that add up to your benefit amount or less. 3. Fold this form and put in an envelope. Place a first class postage stamp on the envelope and send it to: OTC Health Solutions, 9675 NW 117th Avenue, Suite 202 Miami, FL 33178 PEDIDO POR CORREO: 1. Escriba claramente su nombre, direcci n, n mero de tel fono y su n mero de afiliado en el espacio indicado. Su direcci n debe coincidir con la direcci n que tenemos en su archivo de afiliado. No se completa.

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