TECHNOSTRESS ORDER FORM

Dr. Weil's Price

$15.00 (additional charge for shipping)

$12.00 per book for bulk orders (10 or more)

List Price

$22.95 (does not include shipping & handling)

Amazon.com's price

$22.84 (includes shipping & handling)

TO ORDER YOUR BOOK(S):

Mail this completed form to:

Dr. Weil, c/o Human-Ware, LLC
2344 Kimberly #1000, Carlsbad, CA 92008

or fax this entire form to 760-730-3895

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Technostress

Order Form

PRINT THIS PAGE ENTIRELY

MUST BE FILLED OUT COMPLETELY

NUMBER OF BOOKS: __________ X $15.00 = __________ Total Amount (U.S. Dollars)

BULK SALES: _________________ X $12.00 = ___________Total Amount (U.S. Dollars)

Add $3.50 per book for U.S. orders. International delivery add $6.00 per book.

[Enter Group/Promotional Code Here (if applicable): ____________]
NAME: ______________________________________ PHONE: (____)_________________


E-MAIL :_____________________________________
SHIPPING: STREET________________________________________________________
CITY: ___________________________ STATE: ______ ZIP CODE:_____________
METHOD OF PAYMENT: Check or money order (U.S. dollars only, enclosed -- made out to Dr. Weil)
TOTAL U.S. DOLLAR AMOUNT OF ORDER: $_____________________ (include delivery charge)
SIGNATURE:__________________________________________________________________

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