NZ Centre for CBT Logo

Order Form
Relaxation for the Real World
Compact Disk/Audiotape & Manual

 Please print out and complete this order form, then:
 - post if paying by cheque
 - post or fax if paying by credit card
 - post or fax or e-mail as attachment if paying by direct bank credit.

TO: Rational Training Resources                      Fax:      64-6-870 9964 (international)
       PO Box 2292                                               (06) 870 9964 (within New Zealand)
       Stortford Lodge                                            E-mail: admin@rational.org.nz
       Hastings
       New Zealand

Please send me the Relaxation for the Real World recording and instruction manual:

Cassette tape ____ copies
  Compact disk ____ copies                           @ $NZ 55.00 each. Total $ __________

Name: __________________________________________________________________

Postal Address: ___________________________________________________________

________________________________________________________________________

________________________________________________________________________

E-mail: _________________________________________________________________
NB: an e-mail address is preferable in case we need to check anything with you (required for orders from outside New Zealand). We will not use your e-mail for any other purpose after your order is completed):

(For the current cost of this item in currencies other than $NZ, see the converter below)
 I enclose cheque (NZ banks only) / bank draft (if out of NZ) for $NZ _____________
 $NZ ____________ credited to Rational Training Resources bank account on ........ / ........ / ........
      
 (A/c no: 060738-0070427-00)  Please ensure your name is included in the bank entry details

 Please charge my credit card as follows:     VISA / MASTERCARD (circle).

       Card No: __ __ __ __  / __ __ __ __  / __ __ __ __ /  __ __ __ __   Expiry:  __ __ /__ __

       Name on Card (block letters): ___________________________  Amount: $NZ _____

       Country in which card issued: ____________________________________________

       Name of cardholder's bank: ______________________________________________

       Cardholders Signature:  _______________________________  Date: ____________

New Zealand residents: cost is post free & includes GST.
Non-NZ residents:
cost includes post and packaging.
Use the Universal Currency Converter below to check the cost in your own currency.

xe.com  Universal Currency Converter ®
Convert this amount
of this type of currency
into this type of currency.

enter any amount


scroll down to see more currencies
Universal Currency Converter under license from XE.com. Terms of Use

Vers 12-03-2013