ORDER FORM |
SELF-HELP SOLUTIONS |
MAIL YOUR ORDER TO: Dr. Thomas Yarnell 185 Kenmore Ave. Biloxi, MS 39531 U. S. A. |
You may print this order form and mail it to us or just copy the appropriate information on a blank piece of paper and mail it along with a check for the correct amount. You can also fax your order. FAX YOUR ORDER TO: 1-228-388-9630 |
Date:____________ May we have your email address, if you have one, just in case there is a question about your order? This is not required. _______________________ |
MAIL MY CDs TO: _______________________________ _______________________________ _______________________________ _______________________________ |
NAME OF CD QUANTITY ITEM PRICE ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ SUBTOTAL _____________ SHIPPING & HANDLING INSIDE USA - FREE SHIPPING _____________ OUTSIDE THE USA $4.00 TOTAL _____________ |
METHOD OF PAYMENT |
_____CHECK or _____MONEY ORDER (Worldwide) (In U. S. Funds) *** Check or Money Order must be made out to: Dr. Thomas Yarnell)*** |
Thank You For Your Order |
All CDs are $15.95 each |
