Audio CD Order Form
"The Rollercoaster of Chronic Illness: How to Add Joy to the Ride"
To order, print this page and fill it out.
Then mail to:
PO BOX 196
Lafayette, CA
94549-0196
Price: $12.00 per CD
Total # of CD’s @ $12.00 each _______
California residents: add 8.25% sales tax = .99 cents _______
(Price includes shipping)
Total Enclosed: $______
Ø Check or money order payable to Ann Steiner, Ph.D.
SHIPPING INFORMATION:
Name _______________________________________
Address (Please, no P.O. Boxes)________________________________________________________________
Email address ___________________________________
Fax (optional)____________________________________
Phone (optional)__________________________________
Mailing Address, if different from above: ___________________
In a rush? click on Message to get your copy even sooner.
To re-order: CDinfo@DrSteiner.com or be sure to include your mailing address.
Do you want to be notified about my future publications and CDs?
If so, please let me know if you prefer to be contacted by email or U.S. mail. Your information will only be used to let you know about future publications and will not be used by or sold to anyone else.
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OR
q Please do not include me in future mailings
Website: www.DrSteiner.com
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