ALZHEIMER’S AUSTRALIA SA

Our merchandise is hand picked by our experienced staff to enable you to run sensory sessions for small groups or

one on one sessions for people with dementia.

All items are GST inclusive Postage charges apply

Join our mailing list to keep up to date – email saresourcecentre@alzheimers.org.au Updated May 2013

PLEASE NOTE:

DUE TO RENOVATIONS TAKING PLACE IN THE NEW YEAR, LIMITED

STOCKS ARE KEPT ON OUR PREMISES. ORDERS FROM THIS

CATALOGUE WILL TAKE UP TO 3 WEEKS TO FILL. MANY THANKS

FOR YOUR PATIENCE.

MARGARET EGAN RESOURCE CENTRE COORDINATOR

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We at Alzheimer’s Australia SA are dedicated to helping people with dementia and their carers through their journey in living with dementia.

Alzheimer’s SA Consulting Service

Do you need assistance with:

Setting up your Sensory Program

Reviewing your activity programs

Programming for Residents who don’t attend group activities

Preparing for Accreditation

Setting up a Palliative Care Program

Training needs analysis

Give us a call or email and we can visit your workplace for only $120 per hour (This includes a comprehensive written report)

We also run the following sessions and workshops to train your staff in creativity and sensory enhancement:

World of Creativity (Montessori-based activities)

Creative Basics Workshop - One Day Course Includes:

A Sensory Experience Colour My World The Magic of Music

Workshops held seasonally: Autumn; Winter; Spring; Summer

Email or ring for more information and pricing

For information on the above programs:

Email deborah.treherne@alzhiemers.org.au or ring 8372 2100

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You may find the following chart useful when choosing items suitable for people living with dementia.

Description Early Stage

Mid Stage

Late Stage

Page No.

Sensory stimulation Items

Plush animals Dogs and Cats √ 4

Robotic Stuffed Animals √ 5

Laughing Stuffed Animals √ √ √ 5

Chat Back Dog √ √ √ 6

Spinning Kookaburra √ √ √ 6

Full body animal puppets √ √ 6-8

Squishy Bubble Balls √ √ 8

Lifelike Baby Dolls √ 9

Electric Oil Burners √ √ √ 13

Liquid Art √ √ 15

Sand Art √ √ 15

Solar Powered Groovers √ √ 15

Wooden Bamboo items √ √ 14

Fiddle bags √ 18

Fiddle Muffs √ 18

Fabric book √ 18

Sensory Rooms or patient rooms

LED Waterwave light √ √ √ 11

Jellyfish Black √ √ √ 11

JellyWake2 √ √ √ 11

Flameless Candles √ √ √ 13

Rose Lamp √ √ √ 13

Butterfly lights √ √ √ 13

Fibre optic lights √ √ √ 13

Rotary LED lamp √ √ √ 13

Electric Oil Burners √ √ √ 13

Relaxation CDs √ √ √ 14

Solar Powered Groovers √ √ √ 15

Automatic Calendar Clock √ √ 9

Games and activities for groups or individuals

Parachutes √ √ 8

Large Balloons √ √ 8

Large Glitter balls √ √ 8

Sense the Moment √ √ 9

Magic memories Quiz Edition √ √ 10

Colorama sorting activity √ √ 10

Jumbo Playing cards √ √ 10

What’s the Opposite Word Game √ √ 10

Qwirkle √ √ 11

Croquet √ √ 11

Season Tree Puzzle √ √ 11

Wooden Rainbow Activity √ √ 11

Small Table Floor game √ √ 16

Large Table Ball game √ √ 16

Sing a long DVDs √ √ √ 15

Great Australian working dog stories √ √ √ 17

Let’s Talk! Conversation Cards √ √ 10

Activity Books for Leisure and Lifestyle Staff

The Best Friends Book of Alzheimers Activities Vol 1 √ √ √ 17

The Best Friends Book of Alzhemer’s Activities Vol 2 √ √ √ 17

Conversation Starters

Let’s Talk Cards √ √ 10

Sense the Moment √ √ 10

Magic Memories Quiz Edition √ √ 9

Relaxation

CDs √ √ √ 14

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DVDs √ √ √ 14

Montessori

Packs of 20 x Activities √ 17

Individual activities √ 17

Montessori Based Activities for person with dementia Vol 1

√ 17

Useful items for residential care facilities

Calendar Board 16

Large Lock & Latch Activity 16

Door Murals 19

Mobile Sensory Trolley 4

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MOBILE SENSORY TROLLEY $520.00

No space for a sensory room?

Our mobile trolley is ideal for transporting sensory and activity items to your resident’s room or group activities sessions.

3 tiered and complete with 6 removable storage containers. Sturdy and easy to move.

Animals (Plush) – snuggle ups for sensory comfort Providing comfort for animal lovers in late stage dementia

38cm cats. $30.00 black; white; marmalade; black and white

63 cm dogs $70.00 Border Collie or Golden Retriever

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Animals (Robotic) – interactive replacement pets They blink their eyes, move their paws and make animal noises.

Laughing Animals

So much fun! They laugh, they roll. They’ll have you in stitches! Come in 2 styles – Dog, and Monkey(26cm long)

$39.95

Put the switch ON (inside the belly, next to the battery case).

Once the switch is ON the light sensor, which is between the eyes, is activated.

Move your hand in front of the sensor, in good lighting conditions, to activate it.

It starts laughing and rolling….. enjoy!!

Robotic animals provide interest and entertainment Some people see them as real animals where others are just amazed at today’s technology in toys

Provides fun interaction for younger grandchildren.

ROLLO The Laughing Dog

TACHITA The Laughing Monkey

WowWee Alive

Mini Leopard Cub $65.00 20 cms high

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Chat Back Dog – Repeats everything you

say! This is hilarious. $20.00 20 cms high.

Spinning and Laughing Kookaburra Have some fun with this cute bird. $33.00 22 cms high

Sheepdog Puppet $65.00 With your help your clients can enjoy a wonderful sensory experience with this adorable puppet. Use your imagination to make him pant, bark, hunt for fleas, wag his tail, tilt his head quizzically, sniff your sleeve, and generally have fun. A hidden entrance for your arm and long fur hide the secret of your participation, so prepare to charm and be charmed by this fabulous puppet. He has a moveable mouth and so soft and cuddly when not used as a puppet.

56 cms long

FULL BODY ANIMAL PUPPETS - NEW! Create a perfect sensory experience for animal lovers

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Portuguese Water Dog Puppet $65.00 This presidential breed is beloved for its hypoallergenic qualities as well as its sunny disposition. The puppet is designed to look like a real pup with an easy to use movable mouth. Styled as a life-size floppy puppy it has an irresistible charm. An entrance for your arm for puppet play is hidden under his tummy.

60 cm long

Bernese Mountain Dog Puppet $65.00 Need a yodelling companion? This hardy, intelligent breed of dog originated in Switzerland but can be all yours. Soft plush is black and white with rich rust accents. 30 cm long – just the right size for snuggling! An entrance for your arm for puppet play is hidden under his tummy.

Ragdoll Cat Puppet $65.00 Snuggle up with this furry, floppy realistic feline. This ragdoll cat is true to its breed. With relaxed paws and a long fluffy tail, it looks almost boneless! Put side by side with a real live cat and it would be hard to tell the difference. Made of long, chocolate tipped plush with white markings. With moveable mouth there is an entrance for your arm for puppet play hidden under his tummy.

Bernese Mountain Dog Puppet $65.00 Need a yodelling companion? This hardy, intelligent breed of dog originated in Switzerland but can be all yours. Soft plush is black and white with rich rust accents. 30 cm long – just the right size for snuggling! An entrance for your arm for puppet play is hidden under his tummy.

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Parachutes – for exercise and fun

Balls – for sensory experience and exercise

Squishy Bubble Balls - $4.00 Large Glitter Balls - $8.50

3.6m diameter. $85.00

Also available – 6 m diameter $160.00

Large Balloons $1.20ea

Floppy Bunny Rabbit Puppet $45.00 Floppy bunny rabbit is a delightful bundle of softness. Created in cream-colored fabric that is so ultra-soft no one will ever want to put her down. Floppy bunny rabbit will hop into the hearts of young and old with her charming looks. This bunny is life size with an entrance for your arm for puppet play is hidden under her tummy.

Tuxedo Cat Puppet $65.00 Always dressed to the nines, this natty catty is ready to step out on the town. The Tuxedo Cat puppet has a movable mouth and front paws that bring him to life like a real cat -full of curiosity or seeking a lap for a nap. An entrance for your arm for puppet play is hidden under his tummy.

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Automatic Calendar Clocks - $185.00

Life Like Baby Dolls - Used in Doll Therapy (Ring for more details)

Life size and weight

Games and Puzzles

Puzzles and games provide cognitive stimulation – we all need a challenge to stimulate our minds and these

items have been specifically chosen for people with dementia. They come in varying degrees of complexity.

Doll therapy is a non-pharmacological intervention that can improve quality of life and reduce the behavioural and psychological symptoms of dementia. Wonderful for those who frequently exhibit an interest or concern about babies or children.

Measurements: H110 x W340 x D75mm

Powered by 1 x C battery (included)

NEW! Sense the Moment : a reminiscence activity to promote memories through the senses $89.00 Contains 6 packs of 30 cards each; 6 coloured discs; bag; instructions card

Having worked in the field of aged care and with people living with dementia for many years health care staff have designed this group activity for people with early to mid stage dementia in mind. Sense the Moment has been designed to specifically focus on provoking past memories of life experiences around touch, smell, taste, sounds and sights of people living with dementia. The game contains 180 memory provoking questions which will encourage marvellous diverse conversations and bring fun and humour to the table. In addition there is an extra activity involving player participation with 6 coloured discs that match the colours of the 6 different categories of cards.

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Magic Memories Quiz Edition Game $89.00 6 categories:

Famous pairs; Proverbs; War Years; Famous People; Early Years; Golden Oldies

Jumbo Playing Cards

$5.00

Let’s Talk! Conversation Cards – one of the most popular of it’s type.Three different topics. Great conversation

starters. $75.00

Magic Memories Quiz Edition Game is a walk down memory lane game which can be played in a variety of ways, to fit any situation.

The aim of the game is to stimulate memories and conversations between its players and is ideal for families or coordinators of residential and community based settings. Ideal for people with early to mid stage dementia.

Instructions and more information included.

Colorama sorting activity $30.00

Components: 40 x game pieces; 1 x colour die; 1 x shape die; Instructions sheet. This game should be modified to suit people with dementia. It can be played as a Montessori-based activity for sorting and matching. Suitable for small groups or individuals.

What’s the Opposite? Word Game $30.00 A word game for 2 or more players. This game of matching the opposites will promote cognitive stimulation, socialization and fun. It is suitable for people with early stage to middle stage dementia.

Contains 36 word cards, 12 word boards, 1 wipe off white board

marker.

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Wooden Rainbow Puzzle $20.00

Ready to paint or leave it as it is.

This puzzle will promote many sensory aspects:

Season Tree - $30.00 (9cm x 9cm) Each of the pieces in this ornamental puzzle represents one of the four seasons.

Each season is cut from a different type of Australian timber giving four different natural colours. Winter – Jarrah, Spring – Tasmanian Oak, Summer – Australian Red Cedar, Autumn – Silky Oak

Qwirkle – Mix and Match the shapes on the tiles $35.00 Components : 108 square tiles (3.5 cms square), which contain 6 different shapes and designs in 6 different colours - 3 of each colour ; 1 bag ; instruction booklet. This game should be modified to suit people with dementia by playing it as a mix, match and sorting activity. Is suitable for small groups or individuals

Croquet Set $179.00 A great outdoor activity. Have fun outside with this ageless game. Contains 6 Hardwood croquet sticks (83.8 cms), 2 Hardwood stakes, 9 x 5mm ‘U’ shaped wickets, 6 x colour coded polymer balls (8.4 cm)

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Lighting

Interesting lighting can create a relaxing and calming environment. Choose from our assortment of interesting lighting effects. Use for individual rooms or perfect for the sensory room.

LED WATERWAVE EFFECT LIGHT - $180.00

Water wave LED effect light. Relaxing colour water flowing effect. Featuring the latest LED technology and high efficient optical system, the LED Water Wave delivers bright

vivid water wave effects. Equipped with 2 effective wheels and 1 independent dichroic colour wheel. Goes through a spectrum of 5 colours + white – Magenta/Yellow/Blue/Green/Orange/White.

A switch on the back allows you to fix the colour selection. Adjustable focus.

Jellyfish Black - unique multicolour lamp. Can be set to change to a

huge spectrum of colours $160.00

JellyWake 2 – with all the features of the Jelly Black but with added gentle colour wake up alarm

and a choice of multiple sound effects. $180.00

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Flameless Candles

Create a beautiful ambiance for your sensory room; residents’ rooms; special dining occasions; church services; or just a beautiful focus point for people with dementia.

Traditional candles are expensive, they burn and then need to be replaced. Real Safe Candles can glow for up to five years and unlike some overseas brands, our flameless candles only require 2 x AAA batteries. So safe – no risk of fire hazards. No smoke. No waste. No emissions.

Ivory Rainbow Gift Set with Remote Control

$79.95

Made from real wax these battery operated candles features state of the art technology which allows you to run through a spectrum of 12 different colours.

Features Include:

4 or 8 hour timer

Choice of flickering or steady light

Goes through a series of 12 LED colours or set to just one colour

Each gift set includes three candles, remote control and batteries.

Small - 8.5cmw x 10cmh; Med - 8.5cmw x 12cmh; Lge - 8.5cmw x 15cmh

Ivory XL Rainbow Candle with Remote Control

$39.95

Size: 10.2cm diameter, 15.2cm height

Battery operated butterfly LED lights $4.00 ea

5cm high : 7cm wide

Rose Lamp – $19.95

changes colour – 27cm high

Rotary LED lamp $19.95 Battery operated. Sparkles spin around when switched on.

22 cms high

Electric Oil Burners $39.95

Fibre Optic Light $20.00

32cm high : 38cm wide

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Relaxation CDs by Tony O’Connor $25.00

Composer, producer and performer, Tony O'Connor is an Australian artist whose instrumental music is enjoyed by listeners all around the world.

Here are three of his CDs which will help in a completely natural way to assist relaxation, stress management, help to lower anxiety and sooth the soul. Used by therapists in many diverse fields, Tony's relaxation albums form some of the most popular and sought after recordings of this style. Tony believes that music is supposed to make you feel good, that melodies and harmonics can affect us in very positive ways.

Relaxation DVDs

Fireplaces, Fishtanks, Lava

$25.00

Ambient Relaxation

$30.00

Rainforest Creeks

$25.00

Complete Calm by

Tony O’Connor $30.00

Kakadu Take a musical journey into the ancient, mystical land of Kakadu. Accompanied by pristine nature sounds recorded on location. Gentle guitar, harp, piano and strings lull you into a nature's wonderland.

Memento Music is a universal language and it speaks to us on many vibrational levels. Memento is a new collection of classic Tony O’Connor ballads, performed on piano, oboe and guitar, with that very special TOC luscious orchestral backing.

Complete Calm This beautiful album is designed to lead you into a completely relaxed and peaceful state. Each track features signature Tony O'Connor melodies and instrumentation, including harp, classical guitar, gorgeous piano ballads and that special warm orchestral flavour. Complete Calm is destined to be a favourite with fans all around the world.

Forest Seasons

$30.00

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Alex Hearst Sing a long DVDs - $30.00

Liquid Art $11.95 – various styles. Bubbles of coloured oil drip when turned over. 5 x 12 cms

Alex Hearst – The Greatest Hits Show Large words on screen with beautiful pictures in the background for each song – 10 songs: Along the Road to Gungai, Hey Good Lookin', Pennies from Heaven,

Blue Suede Shoes, Love Me Tender, South of the Border, My Bonnie/ When Irish Eyes are Smiling, Waltzing Matilda,

You are My Sunshine, When You're Smiling

Sand Art - $24.95 20cm x 15cm

A lovely soothing sensory experience – watch the coloured sand filter down through the glass areas.

Alex Hearst – The Party Time Show Large words on screen with beautiful pictures in the background for each song – 12 songs:

Roll Out the Barrel; Happy Days are Here Again; You are My Sunshine; Blue Skies; Oh When the Saints

Little Brown Jug; When You're Smiling; Ain't She Sweet Side by Side; My Blue Heaven; Bye Bye Black Bird

Show Me the Way to Go Home

Solar Powered Groovers – the flower moves.

$3.95

Alex Hearst - Christmas Spirit Sing along DVD Extra Large on-screen lyrics; 10 all-time favourite carols and Christmas songs ; Great Pictures & scenery ; Real singing & music. Deck the Halls; Jingle Bells; Santa Claus is comin’ to town;

Hark the Herald Angels sing; O Come all ye Faithful; The Little Drummer Boy; Jingle Bell Rock; Rudolph the Red

nosed Reindeer; We wish you a merry Christmas; Silent Night

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Wooden Bamboo Sensory Fiddle Items

Wooden Activities (made to order)

Large Lock & Latch $150.00 New improved version – can now be wall mounted. Many uses – get into the little cupboards by opening the different locks on each door.

Small Table/Floor Game $50.00

Fold away – Can be used on the table to roll the balls into the holes or on the floor with golf club and ball.

Large Table Ball Game $80.00 Interactive game can be enjoyed with family and friends on visits

Calendar Board - $50.00 55 x 38 cms

Hang on wall and change the information daily

Threader $18.50

Bendable Cat $26.50 Bendable Dog $26.50 Sorting Box $29.50

Stacker $35.50 Twist and Bend $26.50

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Montessori Activities Full pack of 20 activities $400 All activities and the purpose of the activity can be found in “Montessori Based Activities for Persons with Dementia Volume 1”

Individual Activities - $20.00 ea

Montessori Based Activities for Persons with Dementia Volume 1

$90.00

Activities in the pack: Using tongs

Magazine Hunt

Reading Circle Books

Disc Colour Matching

Cube Colour Matching

Paintbrush Seriation

Money Matching

Coin Matching

Pasta Sorting

Dice Activity

Card Matching Activity

Shape Matching

Flower Arranging Activity

Fiddle Bag Activity

Mystery Bag

Pouring Activity

Animal/Plant Sort

Fridge Sort

Shed Sort

Face Sort

The best friends book of Alzheimer's activities : volume one : 147 fun, easy,

and enriching activities $45.00

The Best Friends Book of Alzheimer’s Activities provides useful information to help you transform the activity programming at your nursing facility, adult day center, assisted living facility, or home care setting. Staff, participants, and even family members will all benefit. In these inspiring pages, you will find formal and informal activities, with innumerable variations communication and conversation tips suggested songs and musical tie-ins adaptations for people in the early and late stages of Alzheimer’s disease activities.

The best friends book of Alzheimer's activities : volume 2 : 149 more ideas

for creative engagements! $45.00 Expand and enrich your Best Friends activity programming with 149 all-new activities for individuals with dementia. Like the first book, this collection of fun and easy activities will add both meaning and enjoyment to the activities at your adult day center, home care setting, or residential care facility. Feedback and insights from individuals with early-stage dementia helped shape this new collection, as well as activity suggestions from national and international dementia programs. As a result, the activities include a new focus on diversity and multiculturalism. Also featured are topics of interest to participants in their 50s and 60s, such as the Internet, advocacy, and community service. Participants, staff, and family members will enjoy fresh ideas for creative art projects, interactive games, and evening activities.

Great Australian working dog stories $35.00 This book comes highly recommended by our leisure and lifestyle staff to use as a read out loud book to clients in residential care. The residents love to hear the short stories where these cheerful workaholics are celebrated in tales of heroism, extraordinary intuition and intelligence. On this journey around the nation’s farms, this band of canine characters shows they can be pretty funny, too.

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Sensory Activity - I Spy Fiddle Bags Plastic pellets-filled $35.00 (26cm x 26cm) (Colours of fabrics vary)

Sensory Fabric Book $50.00

Soft bag made of material with plastic window to see the many objects within. Can be played as a game of I Spy to find the objects on the list. Comes in a range of

Male specific objects

Female specific objects.

General objects (will suit men and women)

Sensory Muffs. $50.00 Keep hands warm and occupied. Inside is lined with soft furry fabric with a stress ball attached inside. Fabrics vary.

Keep hands busy with pages of different textures and fabrics. Some pages have an activity .e.g. lace; pocket; zip; stud. A delightful sensory activity.

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Door Murals (Bookcase) $150.00 Cover a door and use as a distraction for wandering residents

Product Features:

Sized to fit Australian standard doors (custom sizes quoted on request)

Made from tear resistant material - no more unsightly tears

Install and remove the mural in seconds with included Velcro - use it only when (and where) you need it

Single continuous poster - easy to handle

High quality full colour photograph - it looks like a real bookshelf

Featuring familiar Australian books - a great source of reminiscence

Evidence base:

The Effect of a Wall Mural on Decreasing Four Types of Door-Testing Behaviors

Journal of Applied Gerontology February 2003 22: 76-88

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Date: ………………

Invoice/Receipt to:

Name …………………………………………………………………………

Organisation………………………………………………………………….

Address……………………………………………………………………….

…………………………………………………………………………………

……………………………………………Post Code………………….……

Phone:……………………………… Fax:………………………………….

Email:………………………………………………………………………… Item Description Item Price Qty Total Price

Mobile Sensory Trolley $520.00

Black Cat Plush $30.00

White Cat Plush $30.00

Marmalade Cat Plush $30.00

Black and White Cat Plush $30.00

Border Collie Dog Plush $70.00

Golden Retriever Dog Plush $70.00

WowWee Alive Mini Leopard cub $65.00

Laughing Dog ROLLO $39.95

Laughing Monkey TACHITA $39.95

Chat Back Dog $20.00

Spinning and Laughing Kookaburra $33.00

Sheepdog Puppet $65.00

Portuguese Water Dog Puppet $65.00

Bernese Mountain Dog Puppet $65.00

Ragdoll Cat Puppet $65.00

Tuxedo Cat Puppet $65.00

Floppy Bunny Rabbit Puppet $45.00

Parachute 3.6m diameter $85.00

Parachute 6m diameter $160.00

Large Balloon $1.20

Large Glitter Ball $8.50

Squishy Bubble Ball $4.00

Automatic Calendar Clock $185.00

Child Replacement Doll $650.00

Sense the Moment Game $89.00

Magic Memories Quiz Edition Game $89.00

Colorama sorting activity $30.00

What’s the Opposite? Word Game $30.00

Jumbo Playing Cards $5.00

Let’s Talk! Cards $75.00

Qwirkle $35.00

Wooden Rainbow Puzzle $20.00

Season Tree $30.00

Croquet Set $179.00

LED Waterwave Light $180.00

Jellyfish Black Lamp $160.00

Jelly Wake2 Lamp $180.00

Flameless Candles Ivory/White set of 3 $79.95

Flameless Candle XL $39.95

LED Butterfly lights $4.00

Rose Lamp $19.95

Rotary LED lamp $19.95

Fibre Optic Lamp $20.00

Alzheimer’s Australia SA Inc Resource Centre 27 Conyngham Street, Glenside SA 5065 Ph: 08 8372 2100 Fax: 08 8338 3390 E:saresourcecentre@alzheimerssa.asn.au

ORDER FORM

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Electric Oil Burner $39.95

CD Complete Calm $25.00

CD Kakadu $25.00

CD Memento $25.00

DVD Fireplaces, Fishtanks, Lava $25.00

DVD Ambient Relaxation $30.00

DVD Forest Seasons $30.00

DVD Rainforest Creeks $25.00

DVD Complete Calm $30.00

DVD Alex Hearst The Greatest Hits Show $30.00

DVD Alex Hearst The Party Time Show $30.00

DVD Alex Hearst Christmas Spirit $30.00

Liquid Art $11.95

Sand Art $24.95

Solar Powered Groover $3.95

Wooden Threader $18.50

Wooden Bendable Cat $26.50

Wooden Bendable Dog $26.50

Wooden Sorting Box $29.50

Wooden Stacker $35.50

Wooden Twist and Bend $26.50

Large Lock & Latch $150.00

Large Table Ball Game $80.00

Small Table/Floor Game $50.00

Calendar Board $50.00

Montessori Activities Pack $400.00

Individual Montessori Activities $20.00

Montessori Based Activities for Person with Dementia Vol 1 $90.00

The Best Friends book of Alzheimer’s Activities : Volume 1 $45.00

The Best Friends book of Alzheimer’s Activities : Volume 2 $45.00

Great Australia working dog stories $35.00

Sensory Activity I Spy Fiddle Bag – Male specific $35.00

Sensory Activity I Spy Fiddle Bag – Female specific $35.00

Sensory Activity I Spy Fiddle Bag – General objects $35.00

Sensory Muffs $50.00

Sensory Fabric Book $50.00

Door Mural (Bookcase) $150.00

Shipping / Handling charges (to be added when goods are ordered)

Total due Payment Option 1 Invoice Payment Option 2– Credit Card Payment

Visa Mastercard

Card No. ……………………………………………………………… Expiry Date………………………………………

Card Holder’s Name…………………………………………………

Order options: Email Order Form to: sa.resourcecentre@alzheimers.org.au

Fax: 08 8338 3390 OR Ph: 08 8372 2100