Shrink in a Box Order Form

(print this form)

 

Price: Now Only $149 USD + Shipping

Date: _________________________  
First Name: ____________________ Last Name: _______________________
or Company Name:_____________________________________________________
Shipping Address: _____________________________________________________
City: __________________________ State/Prov.: ______________________
Zip/Postal Code: _________________ E-Mail: ___________________________
Daytime Phone: (____)_____________ Evening Phone: (____)______________

 

Payment Details:
1 Shrink in a Box Stress to Success Program: $149 USD

   - 3 audio CDs, 1 VHS video, 1 Resource Manual,

   - Plus 5 Special Reports, "Five Powerful Principles for Personal Success",

   - Plus Bonus Express Version CD.

Add Shipping: $5.00 USD (within Canada or U.S.)

Total with Shipping: $154.00 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.