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ShrinkinaBox.com Mail Order Form
(print this form)
| Date:
_________________________ |
|
| First
Name: ____________________ |
Last
Name: _______________________ |
| or
Company Name:_____________________________________________________ |
| Shipping
Address: _____________________________________________________ |
| City:
___________________________ |
State/Prov.:
______________________ |
| Country: ________________________ |
Zip/Postal Code: _________________ |
| Email: ________________________________________ |
| Daytime Phone:
(____)_____________ |
Evening Phone:
(____)______________ |
Payment
Details
|
Choose The Item(s) You Wish To Order |
|
| |
'Secrets of Dealing with Difficult People' ebook ($23) |
$ |
| |
'Secrets of Dealing with Difficult People' soft cover book ($27) |
$ |
| |
'Shrink in a Box' Personal Success System 3CDs/DVD ($49)
|
$ |
| |
'Everyday Power' 2CDs ($24.95) |
$ |
| |
|
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Add Shipping:
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| |
Soft cover book or book+CDs within Canada or the U.S. add
$8.49, Overseas add $15.99
|
$ |
| |
CD programs within Canada or the U.S. add $6.49,
Overseas add $13.99 |
$ |
| |
All advertised bonuses will be included with your order. |
Free |
| |
Calculate Your Total: |
$ |
MAIL THIS
FORM TO:
Wellspring Personal Effectiveness
213 - 5325 Cordova Bay Rd
Victoria
BC, Canada V8Y 2L3
Please
enclose your Cheque or Money Order payable to:
Dr Mark Lauderdale
Thank you.
For
Assistance Please contact us.
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