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Everyday
Power Order Form
(print this form)
Price: Now Only
$19.97 USD + Shipping
| Date:
_________________________ |
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| First
Name: ____________________ |
Last
Name: _______________________ |
| or
Company Name:_____________________________________________________ |
| Shipping
Address: _____________________________________________________ |
| City:
__________________________ |
State/Prov.:
______________________ |
| Zip/Postal Code:
_________________ |
E-Mail:
___________________________ |
| Daytime Phone:
(____)_____________ |
Evening Phone:
(____)______________ |
Payment
Details:
1 Everyday Power
Stress Relief CD: $19.97 USD
Meditations to Heal the Mind and Rejuvenate the Spirit
- Plus a Bonus CD with 2 presentations by Dr Lauderdale:
• How to Deal with Difficult People
• The Power Within
Add Shipping:
$5.00 USD (within Canada or U.S.)
Total with Shipping:
$24.97 USD
MAIL THIS
FORM TO:
Shrink in a Box
213 - 5325 Cordova Bay Rd
Victoria
BC, Canada V8Y 2L3
Please
enclose your Cheque or Money Order payable to:
Wellspring
Personal Effectiveness Inc.
Thank you.
For
Assistance Please contact us.
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