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Order Form
To order, please complete this form and send your request to us.
| Title | Format | Price Each | Total |
| Taking the "Ouch" Out of Headaches | 3 cassettes and book | $31.95 | _____________ |
| Stress Reduction | video tape | $11.45 | _____________ |
| Relaxation, Wisdom, & Confidence | audio tape | $8.95 | _____________ |
| Stop Smoking | video tape | $11.45 | _____________ |
| Letting Go of the Urge to Smoke | audio tape | $8.95 | _____________ |
| Thinking Thin | audio tape | $8.95 | _____________ |
| Subtotal | _____________ | ||
| Georgia residents, add 6% tax | _____________ | ||
| TOTAL | _____________ | ||
| Name: | _______________________________________________________________________ | ||||
| Address: | _______________________________________________________________________ | ||||
| City: | ____________________________________ | State: | _______ | Zip Code: | ___________ |
Make checks payable to Joan Miller, Ph.D.
Or complete the following if you would like to charge it to Visa or Mastercard:
| Account # | _____________________________________ | Expiration Date: | ________________ |
Signature: |
______________________________________________________________________ | ||
If using credit card, you may order by phone by calling: 770-952-3308 or faxing this order form to: 770-952-3309
Or send this form to the following address:
Joan Miller, Ph.D.
2520 Windy Hill Road, Suite 106
Marietta, GA 30067-8633
If you're not satisfied with the materials, you may return them for a full refund.