Print Name: ___________________________________________________________ Date: ______________
Street Address: ___________________________________________________________
City: _____________________________ State: __________ Zip: ______________
Phone contact if questions with order: Home: _________________ Work: ________________ Cell:________________
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Payment Method:
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CHECKS ONLY PLEASE – No Credit Cards accepted at this time |
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Checks Payable to:
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Shawn O’Regan |
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Mail Order to:
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P.O. Box 2 Allenton, MI 48002-0002 |
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Call to order:
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(810) 798-3884 and pick up or have your order shipped to you. |
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Pick Up Order at:
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Save shipping fees, call in advance to arrange to pick up your order at: Mercy Health Center, 4190 - 24th Avenue, Fort Gratiot, MI 48059 |
Audio CD’s = $17.00 each or 3 for $45 |
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| TITLE |
CD $
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Tape $
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Quantity
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Total
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| Her Most Popular - In Demand CD! “10 Minute C.E.O. Power Nap”- Self-instructional, so you can learn to power nap without the CD. It works! |
________ | ________ | X | ________ | = | _________ |
| Lose Weight: Manage your Mind, Manage your Weight | ________ | ________ | X | ________ | = | _________ |
| STOP Smoking - Reinforcement during sleep or napping | ________ | ________ | X | ________ | = | _________ |
| STOP Smoking - Reinforcement during day, driving, etc. | ________ | ________ | X | ________ | = | _________ |
| Stairway to Relaxation | ________ | ________ | X | ________ | = | _________ |
| Therapeutic Waterfall - Emotional, physical, and mental healing needs. Calming. |
________ | ________ | X | ________ | = | _________ |
| Memory /Concentration: Help in studying, retaining information for tests. |
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| HIP Replacement - Set of 3 CD's or $20 each Before surgery, immediately after, 90 days after |
$50.00 or $20.00 ea. |
CD's only
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X | ________ | = | _________ |
| KNEE Replacement - Set of 3 CD's or $20 each Before surgery, immediately after, 90 days after |
$50.00 or $20.00 ea. |
CD's only
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X | ________ | = | _________ |
| Good Night Sleep - Assist in helping to get to sleep and sleep well all through the night. |
CD only | |||||
SUB-TOTAL: |
_________ | |||||
| SPECIAL OFFER until Oct. 30th - FREE Shipping! |
$0.00
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_________ | |||||
TOTAL DUE: |
$________ | |||||