ORDER FORM

 Click here for *.pdf form to print.

 

[Summer 2009 -- Time-limited special sale pricing!!]

 

_____ X	JUST FOR BOYS program manual  [reg. $35]                                  @$25.00	$___________
_____ X	JUST FOR GIRLS program manual  [reg. $35]                                @$25.00	___________
_____ X	NURTURING GIRLPOWER manual [reg. $35]                               @$25.00	___________
_____ X	WHEN GIRLS FEEL FAT   [reg. $19.95]                                         @$10.00	___________
_____ X	BODY THIEVES  [reg. $14.95]                                                         @$5.00	___________
	+Shipping      [Free shipping on orders of $80+]         ____ book(s) @ $5/book	+___________
	TOTAL	$___________

 

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NAME: _____________________________________________ POSITION: ________________________________

AGENCY: ____________________________________________________________________________________

STREET ADDRESS: ___________________________________________________________________________

CITY: ____________________________________________ STATE:______ POSTAL CODE:_________________

TELEPHONE: ____________________________ wk - res - cell    FAX (optional):____________________________

eMAIL: ______________________________________________ URL: ____________________________________

 

r  Check or money order

r  Purchase Order# ___________________________________ Date: ____/____/______

r  VISA    or    r  MasterCard    or    r  American Express                    Card name: ______________________________________________                    Card number: ____________________________________________                    Expiry: ______/______

 

-Keep a copy of the completed form for your records.

-Phone  or Fax  or Mail  this form  for any payment option:

             Salal Books, 4370 Gun Club Road, Sechelt, BC, Canada  V0N 3A1

-email  a scan of this form to  orders@salal.com  for faster service using a credit card

   and/or institutional purchase order.

-We will notify you by email when we receive your order.