Mail/Fax Order Form
You are encouraged to order additional copies of the books
Optimize Your Life! The One-page Strategic Planner
Optimize Your Life! Interactive Worksheets CD Edition
Optimize Your Life! Workbook Edition
from your favorite local or online bookstore.
Apellicon-Pearson Press offers the following direct order services:
Fax Orders: 207-848-5649 (Print, complete, and send this form)
Postal Orders: Print, complete, and send this form to:
Bernhoff A. Dahl, M.D.
Trionics International, Inc
c/o UniShip 78 Freedom Parkway
Bangor, ME 04401 USA
Please send ______ copies of :
Optimize Your Life! The One-page Strategic Planner @ $10.95 per copy
Please send _______ copies of:
Optimize Your Life! Interactive Worksheets CD Edition @ $15.95 per copy
Please send _______ copies of:
Optimize Your Life! Workbook Edition @ $14.95 per copy
for a total of $__________. (Maine residents add sales tax.)
Shipping
USPS Book Rate: $3.00 per book
USPS Priority: $5.00 per book
International: $9.00 per book
Note: for volume sales we offer special shipping charges.
TOTAL OF THIS ORDER: $___________
Name: ______________________________________________
Address: ____________________________________________
City: _____________________ State: _______ Zip: __________
Telephone: _____________________________
E-mail: ________________________________
Payment
___Check: $ ________ ___Money Order: $ ________
___Credit Card $ ________ :
___Visa ___Master Card ___AmEx ___Discover
Card number: ________________________________________
Name on card: _______________________ Exp. Date: _______
Address of card: ____________________ ___ ____________
*****************************
Special pricing: These books are available at a volume discount per book and
for shipping charges.
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