TECHNOSTRESS ORDER FORM

OUR PRICE

$20.00 (includes shipping & handling in the United States -- additional charge for overseas shipping)

$18.00 per book for bulk orders

List Price

$22.95 (does not include shipping & handling)

Amazon.com's price

$22.84 (includes shipping & handling)

TO ORDER YOUR BOOK(S):

You can mail this completed form to: 2344 Kimberly #1000, Carlsbad, CA 92008

or fax it to 760-730-3895

or e-mail all the following information to bookorder@human-ware.com

Order Form

NUMBER OF BOOKS: __________ X $20.00 = __________ Total Amount

BULK SALES: _________________ X $18.00 = ___________Total Amount

[Enter Group/Promotional Code Here (if applicable): ____________]
NAME: ______________________________________PHONE: (____)_______________
SHIPPING: STREET________________________________________________________
CITY: ___________________________ STATE: ______ ZIP CODE:_____________
METHOD OF PAYMENT: ___ check (enclosed -- made out to Dr. Weil) ___ Visa ___ Mastercard (We can only accept Visa and Mastercard.)
NAME ON CREDIT CARD:__________________________________________________
CREDIT CARD NUMBER:___________________________________________________
CREDIT CARD EXPIRATION DATE:______________
SIGNATURE:___________________________ E-MAIL :__________________________
Where did you hear about TechnoStress?





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