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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.:
______________________ |
| Zip/Postal Code:
_________________ |
E-Mail:
___________________________ |
| Daytime Phone:
(____)_____________ |
Evening Phone:
(____)______________ |
Payment
Details
|
Choose The Item(s) You Wish To Order |
|
| |
'Secrets of Dealing with Difficult People' ebook ($27.97) |
$ |
| |
'Secrets of Dealing with Difficult People' softcover book with shipping to Canada & U.S. ($39.97) |
$ |
| |
'Secrets of Dealing with Difficult People' softcover book with shipping Overseas ($46.97) |
$ |
| |
'The Healing Place' 2CDs with shipping to Canada & U.S. ($29.94) |
$ |
| |
'The Healing Place' 2CDs with shipping Overseas ($37.46) |
$ |
| |
'Shrink in a Box' Stress Management System with shipping
($57.88) |
$ |
| |
'Shrink in a Box' Stress Management System with shipping Overseas ($66.38)
|
$ |
| |
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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