|
Please print out this order form and either post with your payment (or you
may fax if paying by credit card).
TO:
Rational Training Resources
Fax: 64-6-870 9964 (international)
PO Box 2292
(06) 870 9964 (within New Zealand)
Stortford Lodge
Hastings
New Zealand
Please send me the
Relaxation for the Real World recording and instruction manual:
Cassette tape ____ copies /
Compact disk ____ copies @ $NZ 50.00 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 and you will receive no further communications from us (unless at
your request) after your order is completed):
(Click
here for current cost of this item in currencies other than $NZ)
c I enclose cheque/bank draft for $NZ _____________
c Please
charge my credit card as follows: VISA / MASTERCARD
(circle).
Card
No: __ __ __ __ / __ __ __ __ / __ __ __ __ / __ __ __ __ Expiry
Date: __ __ /__ __
Name
on Card (block letters): ____________________________ Amount:
$NZ _____________
Country in which card issued:
______________________________________________________
Name
of cardholder's bank:
________________________________________________________
Cardholders Signature: ___________________________________
Date: ________________
Vers:Nov-11 |